HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC 7E INFO U BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Numb � V
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I MUM.19�12rti
Building Permit Application SEP, 2 5 2013
Planning and Development Services
Building and Code Regulation Division a0e rm itti n CYe9c,,p- �. M2300 Virginia Avenue,Fort Pierce FL 34982 a I Lt)Z e it t
Phone: (772)462-1553 Fax: (772)462-1578 Commercial " ultra I� �G�V 'L� g y I
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8108 Alister Place, Port St Lucie, FL 34986
Legal Description: ��D a r4T Ti4 t
Property Tax ID#: 3327-707-0029-000-2 Lot No.25
Site Plan Name: 4Block No.
Project Name: 2 1 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK:
���1 X4-1 Z O ��, v�}-c.0 o �d7 i �►� S �Tc`�C,•
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—c ec a ap
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: a�S'- Sq. Ft. of First Floor:
Cost of Construction:$- /0��3 Utilities:0 Sewer D Septic Building Height:
OWNER/LESSEE: -CONTRACTOR:
Name John&Brian Wright„ Name: Edward J. Heritage
Address:8108 Alister Place Company: Folding Shutter Corp
'' Port St Lucie, FL 7089 Hemstreet-Place
City:. State:_ Address: `
Zip Code: 34986 Fax:n/a City. West Palm Beach State:FL
Phone No.772-461-371,1 . Zip Code: 33413 Fax: 561-640-8204
E-Mail:n/a Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
— s
Signature of Own er/Less_eelContr=ac-to gent for Owner Signature of Contr nse+tot- r
STATE OF FLORIDA ( Lr4 STATE OF FLORIDA
COUNTY OF �A COUNTY OF
The fo'.r�$joing instr ent was acknowledge�b fore me The forgoing instrument was acknowledged efore me
this 1H day of �� 2016 by this�day of 6!a ! 20 �by
Edward J.Heritag& Edward J.Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.('r1SD7 (Seal) Commission No. r'Ff'�ogG7 (Seal)
PAMELA A.EVANS PAMELA A.EVANS
NOTARY PUBLIC �ot�rtvso
STA0
Revised 07/15/2014 OF FL 50967 0 c STATE OF FLORIDA
SYNC 190 Expires 10/11/2018s�'yCE 10 Comm#FF150967
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
� INITIALS