HomeMy WebLinkAboutBuilding Permit Application fr -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I?
Date: Perm It Nu 4-7&Tx.71
AUG 3 12018
Building Permit Applicatildo
Planning and Development Services PC nent.
Permitting Depar-tir
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34-482 St. JAIcie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
Legal Description:TARPON FLATS SUBDIVISION (PB 69-27)LOT 7(OR 3905-2857)
Property Tax I D#:1423-566-0010-000-4 Lot No.7
Site Plan Name: Block No.
Project Name:Mary Baker
'
Setbacks Front Back: RightSIde: Left Side:
Install Hurricane Protection Products on(2)openings
[��M:U:CTIONANFOWATON:
ACICIltionalworl(topenerformed under this permit—ChecK all I=apply:
F]HVAC Gas Tank 0 Gas Piping LJShutters Windows/Doors
1:1
-__
Total Sq.Ft of Construction: S Ft of First Floor:
Cost of Construction:$ 8658.00 Uti litlest Sewer E]Septic Building Height:
QWNER/LESSEE. CONTRACTOR!
Name Mary Baker Name:Brian Rist
Address: 3913 Shoreside Dr Company:Storm Smart Building Systems
City- Ft.Pierce State: FL Address:6182 Idlewild St
Zip Code: 34949 Fax: City:Fort Myers state:FL
Phone No. 772-913-0204 Zip Code.33966 Fax:884-330-8277
E-Mail: drmbaker(&,bellsouth.net Phone No. 561-229-0048
.Fill In fee simple Title Holder an next page If different E-Mail:tIYtIeAStorrnSmartSE.corn
from the Owner listed above) State or County License:CRC056857
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
|
| .
�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
:-Zip: Phone: Zip: Phone:
I certifythat no work or installation has commenced priorto the Issuance of a permit.
St.Lucie County makes,no representation thatU granting a permit will-authorize the permit holderto build the-subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an at orney before
comrneocing work or-rp4oT4nig your Notice of Commencement.
-----------
sIgnat' Wne'rTAgentj Lessee ure of Contractor/License older
STATE OF FLORIDA (�_ fQ�i(,� STATE OF FLORIDA
COUNTY OF r[1�J�(Yl Y 1 COUNTY OF L_F•;�
The fforgpinginstrugDent was a knowledged efore me The forgoing instrument was acknowledged before me
this M day of 20 115 by this Al day of J U N G- ,20-4 by
a( �(�•L Brian Rist
(Name of person ackn wledging { ame of person acknowledging)
- - Zhao 8`a6IriS;l9rraf, -
C � �'y• G�{vMl•j S7����C`��'�✓��
{Signature of Notary Pu li =State of M r-1-65} oe
ature of Notary Public-Stat o aklorida�F� ya �'•
Personally Known ,roduced l0sil1ftifftlon nally Known OR rods ez�1;I entfCatinn
113910
Type of Identification Dal %: NotaryPublic-StateofFlori a of Identification Produced
• ;• Commission —q —"'
iN► �: My Co E�x❑}IresMay16,2021 °G' °bigaedthru gess. ®a
Commission No. `'• � yonded��Ugrwalian81Wavy Asen. Commission No. TE
%a� ealy��etW� .•�QP�`®'
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS