HomeMy WebLinkAboutBuilding Permit Application SUPPLEMENTAL�COMTRUCTION- LIEN 1AW INFORMATION: 4 " .:
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 Countfy+makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is In wn list 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' ure of Ow r/A essee Signature of Contractor/License Holder
STATE OF FLORIDA y'� STATE OF FLORIDA
COUNTY OF asp I t� �G� COUNTY OF c�1'�l(U7- ���i
The fo Ding Instrument was acknowledged before me The for�oing Instrument was acknowledged before me
this ay of 20 3 by this_[L:' day of QCA0�� 20�$by
{Name of person acknowledging) (Name of person acknowledging}
{Signature of Notary Public-State of Florida {Signature of Notary Publ -S of Florida)
Personal) Known V OR Produced Identification Personal Known 7OR Produced Identification
Personally J, �v
Type of Identification Produced Type of Identification Produced
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Commission No.`I'r 2 NOTARY PUBLI ommisslon No: QA Isy
IWISTATEOFFLORIDA NOTARY PUBLIC
or.nORIDA
Expires 9/12/2019 Coma►#FF912206
Revised 07/15/2014 Expires 9112/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:- Permit Number-
RECEIVED
umb -RE IVED
Building Permit Application OCT 12 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 t. L e i e ) ,'ou n ty, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Shutter
PROPOSED WfROVEMENT1 CATION'
Address: 9519 Laurelwood Court,Fort Pierce,FL 34951
Legal Description:MONTE CARLO COUNTRY CLUB UNIT THREE LOT 243
Property Tax ID#:1327-701-0063-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Thomas Collins
Setbacks Front Back: RightSide: Left Side:
DETAILED DE-,CRIPTION OF VIIURK
Installation of Hurricane Protection
CONSTRUCTlQN,INFORMATION
t ona wor to� •e a orme" under ts permit a •'a a app y:
HVAC 13 Gas Tank F1 Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq,Ft.of First Floor:
Cost of Construction:$ 7,000.00 Utilities: Sewer Septic Building Height:
01II/N ER/LESSf E. CONTRACTOR
Name Thomas Collins Name:Robert Altino
Address: 9519 Laurelwood Court Company:Galeforce Hurricane Shutters,inc.
City: Fort Pierce State: FL Address:1429 SE Villiage Green Drive
Zip Code: 34951 Fax: City:Port St.Lucie State:Fl
Phone No. 772-285-3662 Zip Code: 34952 Fax:
E-Mail: Phone No. 772-337-6200
Fill in fee simple Title Holder on next page(if different E-Mail: ealeforcetcnu,gmail.com
from the Owner listed above) State or County License:CBC1251430
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.