HomeMy WebLinkAboutBuilding permitALL APPLICABLE INFO UST BE COMPLETED FOR R APPLICATION TO BE ACCEPTED
Date: Permit Number.
Building Permit Application
Planning and Development Services
Building and Code Regula ion Division
2300 Virginia Avenue, Fort Pierce FL 349$2
Phone: (772) 462-1553 Fax: (772) 4b2-1578 Commercial Residential �«
Legal' Description* .., VA -1
Ma
Pron 46
Fp- y Tax I D #0
rt
fte Plan Na e:
11 1111
Project Name:
INSTALLATfON OF L FBC-APPROVED ACCORDION SHUTTERS
❑
Elect
ric
Total Sq. Ft of ons ru io
Cost of Construction: $
as Tank
umbing
0
06
Gas Piping
Sprinklers
1 r I Shutters
❑ Generator
Sq. Ft. of First Floor,*
Ser)tic Building HPiohte 15'
Utilities:
Sewer
QWindows/Doors
Roof
IP
Roof pitch
Phone No., i I
E -Mail:
lk 2V!�A> ft I-01, LA k li,
Fillin fee simple Title Hol r on next page
from the Owner listed ab ve)
if value of constructipn is $2
if different
Zip Code: 34984 Fax:
Phone No. 772'2014w9919
E -Mail:
JUSTSHUTTERIT@GMAIL.Com
State or County License: 24293
0 or ore., a RECORDED Notice of Commencement is requ
1red.
I'm 1 1 1%r *
Address:
City: State:
Zip: P h ne.
FEE SIMPLE TITLE HOLDER*
Name:
Address:
City:
Zip: Phone,•
Not Applicable
Na e
Addressa,,
City: State:
Zips• Phone,.
BONDING COMPANY,N ot Applicably
Name:
Address:
City:
Z ip: Phone.,
1 certify that no work or in tallation has commenced prior to the issuance of a permit.
St. Lucie Coun�y makes no epresentation that is gran ting a permit will authorize the ermit holder to build the subject structure
which isin conflict with an applicable Home Owners Association rules, bylaws or anscl)v'enants that may restrict or prohibit such
structure. Please consultwith!!���our 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 per it applications are exempt from undergoing a full c
accessory structures., swim ing pools, fences, walls, signs, screen r
WARNING TO O'WNE
oncurrency review,* room additions,
ooms ano;accessory uses to another non-residential use
;Your failure tc Record a Notice of Commencement may resutt I" y4W U1 Pay#"g �wi�e ror
improvements to your property. A Notice of Commencement must be recorded and posetd on.. hejo bsite
before th first inspec ion. if you intendt oobtain financing, conCLIlt�with lender or an attorney before
commen ng work or rtcordin your Notice of CommencementA
�
0 W a
Sij6atureW owner/LesseelCon'
STATE OF FLORI
COUNTY OF <T
The for ding instru
this , j� day of _
trador as
c
Agent for Owner Signature of Contractor/Licenseolder
STATE OF FLORIDA
s acknowledged
1 2 0 -1
VVL 1/1�
(Name of person acknowlelging)
��,.,-ore me
I;,
by
Y/
(Signature of Notary Public Stat of Florida
Personally Known `� R Produced Identification
Type of Identification Prod ced
Commission No.eal)j�
* '•. � MYCOMMI
MICHELE FREDERICK
'(Z. "iPhla rn
EXPIRES: AugUst
Revised 07/15/2014 �
�°F�� e 0+�ded Thm Budgeto}ar1 y Sryf 1^gig
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTE
ZONING
REVIEW
SUPERVISOR
REVIEW
COUNTY OF
.4,14
The forgoing instrument was acknowledged before me
this L43day of 20 � by
SOT%
�Z
(Name'of person acknowledging)
k
(Signature of Notary Public- Staof Florida }
Personally KnownXy OR Produced Identelfication--
Type
of Identification Produced
Commission No. t � / � rtyo 2— (Sell)
A ICHELL FREDEMCKS
PLANS
REVIEW
VEGETATION
REVIEW
�1
EXPIRES: August 2, 2019
90*4 Thru Budget Nob ry Services
SEA TURTLE
REVIEW
MANGROVE
VIEW