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HomeMy WebLinkAboutBuilding Permit Application A� ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: V� `` /0\ I Ig Permit Number: WO RECEIVED COUNTY FLORIDA OCT01 2016 Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 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: 300 SE Celestia Court,Port St Lucie,FL 34983 Legal Description:RIVER PARK-UNIT 5 BLK 45 LOT 29(MAP 34/28N)(OR 209-1459;3745-2884) Property Tax ID 0:3419-540-0083-000-9 Lot No.29 Site Plan Name: Block No. Project Name:Anna Worth Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacement of 1 Door SAS CONSTRUCTION INFORMATION: Additional work to be rformed under this permit—check all plA apply: HVAC Gas Tank Gas Piping l _Shutters © Windows/Doors 0 Electric ❑Plumbing Sprinklers 0 Generator DRoof Total Sq.Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 3000.00 Utilities:lSewer DSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Anna Worth Name:Toby Tokes 'Address: 300 SE Celestia Court • Company: Armorvue Window&Door City Port St Lucie State: FL 'Address:1000 Clint:Moore Rd Ste 109 Zip Code 34983 Fax: City;Boca Raton State:FL Phone No. 772-249-0861Zip Code:33487 Fax:561-826-9180 E-Mail: Phone No. 561-988-4222 Fill in fee simple Title Holder on next page( if different E-Mail:permits@armorvue.com from the Owner listed above) State or County License:CRC1330842 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 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 withany 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 rk or recording r N fiCe f Commencement. Q 111, /73Z-Q---- Signature of Owner/Agent/Lessee Signature a, Contra "Li -nse Holder STATE OF FLORIDA STATE OF FLO• DA COUNTY OF Vo\r^ A,•% COUNTY OF (Se_c•c-t.. The folgoing instrgment wa acknowledged before me The forgoing instrument was acknowledged before me this day of Serdeol br.,Y , 20!by this day of Sef-Vitrolbe ' ,20 tiP by Qr �. o —CO\o 1 L€s (Name of person acknowledging) (Name of person acknowledging) an..frat, 00.41 4 ,7h^a,� Fri" (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known y OR Produced Identification Personally Known Y3 OR Produced Identification Type of IdentificationonProduced Type of Identification Produced • Commission No.& °° „Notary Public State af�f1df11ss•: