HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST.PE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! '� J (� Permit Nu .
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Building Permit Applicatio SEF 7 2013
Planning and Development Services Oei ITllttlllg Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 S l. Lucie Cohnty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ntW-y- -
PERMIT APPLICATION FOR: Shutter
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Address: 6724 Alheli
Legal Description: Spanish Lakes Fairways Block 39 Lot 3
Property Tax ID#: 1306-500-0041-000/6 Lot No.3
Site Plan Name: Spanish Lakes Fairways Block No. 39
Project Name:
Setbacks Front Back: Right Side: Left Side:
;;DETAILED DESCRIPTION:OF WORK
Install accordion shutters to eleven openings per diagram
CONSTRUCTI N I;NfORMATIUN y
Additional work to be nertormed under t ispermit—check all apply:
HVAC Gas Tank L]Gas Piping Shutters Windows/Doors
gElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 7.400. Utilities: Sewer 0 Septic Building Height:
C�WNERJLESSEEE CT '
_ . __.
CONTRA OR
rr .
Name Daniel F. A]pxanr]ra Riirn Name: JRff 'Ta nkmnn
Address: 6724 Alheli Company: Master Craft Aluminum Products
City: Fort Pierce State:FL Address: 1 634 SF Ni emeeyr Ci rcl e
Zip Code: 34951 Fax: City: Port St-_ Tairi p State:FL
Phone No.772-460-5323 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC13115058 6
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
;SUPPLEMEN 'AL.CON5TRUCTION ENILAW INFORMI-1TI(71V
DESIGNER/ENGINEER: _Not Applicable c 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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that 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 attorney before
commencing work or recording our Notice of Commencement.
'-"J"J \z __' \\'X A
Signatur o n /L see/Contractor as Agent for Owner Sign u tetra for/License Holder
STAT ORIDA STA O LORIDA
COUNTY OF St Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowle'dg dfore \ The forgoing instrument R ffknow1`e ged before me
this 29 day of August 20_ by this 29 day of August 20_ by
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Sheryl D.Mom Type of Identification
Produced NOTARY PUBLIC Produced
STATE OF FLORID
Comm#FF942382 NOTARY PUBUC
IDE-Vres 1/15/2020 STATE OF FLORIDA
(Signature of Notary Public-State of Florida ) (Signature of Not c- f gMwE&O
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17