HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOc�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 y
Date: 1 \aa1 \ Permit Number:
® RECEIVED
Building Permit Application
JAN 2 2 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie Geantys herrrmitt fig
2300 Virginia Avenue,Fort Pierce FL 34982 T—_�----
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: ShutterLi
PROPQSED INIRROVEMENT LOCATL.
Address: 6036 Alexandria Cir. ( Palm Grove)
Legal Description. Palm Grove S/D BLK K LOT 24(0.12 AC)
Property Tax ID#: 3410-503-0324-000-9 Lot No.24
Site Plan Name: Block No. K
Project Name:
Setbacks Front Back: Right Side: Left Side:
raAN
DETAILED DESCRIPTION DF WORK
INSTALL 8 ACCORDION STORM SHUTTERS ON HOME
CQ,NSTRUCTLON'INFORNIATION .
Additional work toe nertormed under this permit—check all that appy:
HVAC Gas Tank E]Gas Piping ✓ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4750.00 Utilities:Sewer Septic Building Height:
ODUNER/LESSEE , CONTRACTOR:
NameDEBRA NOYES Name: MATTHEW MARKS
Address:6036 ALEXANDRIA CIR. Company: EAST COAST ALUMINUM PRODUCTS
City: FORT PIERCE State:FL Address: 913 EDWARDS RD
Zip Code: 34982 Fax: City: FORT PIERCE State,FL
Phone No.814-380-0118 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone No. 772-464-7600
Fill in fee simple Title Holder on next page(if different E-Mail: ECAPINC@HOTMAIL.COM
from the Owner listed above) State or County License: 24526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW] RMATI N
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/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST, Lueji;E COUNTY OF ST. LUCI E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L day of a-ArvyAax ,201cl by this L day of jr4rruA&Y 201_9_ by
HATTtdEW MAZES 14ATTNa:w MAxe-s
Name of perso aking statement Name of person ryaking statement
Personally Known OR Produced Identification Personally Known 1 OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- ate,,o�,-Flofida) DONALD M.HOANW(otAssn-
ture of Notary Public- ate ��orida) DONALD M.HO'
Notary Public-Stat ;r. „o Notary Public-State of F o a
Commission No. FF 2 * ;{5ealbommisslon#FFission No. / 2- o •: »•_(SeQ0)nmisslon#FF 913,4
,��iFOFfI�Po,, My Comm.Expires S =,���011'op�;� My Comm.Expires Sep 20 19
Bonded through NationaBonded through National Not sn.
MR WIMP 11
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17