HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A �`
Date: 9-18-18 Permit Number: �V ( V�U
KE1'1/E
Building Permit Applicatio SEP 16 2018
Planning and Development Services
Building and Code Regulation Division S7•.IIAKIle CWMYi POM mg
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 116 Queen Christina Ct Fort Pierce, FL 34949
Legal Description: Queens Cove-Unit 2-BLK 21 Lot H (OR 1898-435)
Property Tax ID#: 1414-702-0008-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of Storm Protection Town and Country 6.8 accordion white aluminum shutters - 19
openings: 15 windows, 4 back porch panels
CONSTRUCTION INFORMATION:
Additional work to be oertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 9,900 Utilities: L1 Sewer[]Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Laurie Welton Name: Don Hinkle
Address:116 Queen Christina Ct Company: Don Hinkle Construction, Inc
City: Fort Pierce State:FL Address: 219 Hunt Ave
Zip Code: 34949 Fax: City: Fort Pierce State:FL
Phone No.772-631-9555 Zip Code: 34946 Fax: 772-467-1348
E-Mail:9ermslayer@yahoo.com Phone No. 772-528-2249
Fill in fee simple Title Holder on next page(if different E-Mail: donhinkle@bellsouth.net
from the Owner listed above) State or County License: CGC 036040
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:
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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Se- l..crL . COUNTY OF 51—
The forgQ�ng instrument was acknowledged before me The fo'�r ioing instrument was acknowledged before me
this / day of J2,Q'/— 20Ltby this_day of 201t by
IV tA0 A=4 4
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification L]�
Type of Identification /� Type of Identification
Produced U L_ Produced
(Signature of Notary Public-Stat lorida) (Signature of Notary Public-State of Flor' )
Commission No. (Seal) �a�N w mmission No. (Seal) 4D
2e m h �OQ�ryOro
J o Oflu
2 a`D ar®o
REVIEWS FRONT ZONING 1� PLANS VEGETATION SEATURTLE a( t
COUNTER REVIEW 11e REVIEW REVIEW REVIEW
DATE m z,Q tie t�Go o�
RECEIVED PC o�a�te
DATE
COMPLETED
Rev. 8/2/17 ;moi