HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO$E ACCEPTED
Date: Permit Number:
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Building Permit Application
I Planning and Development Services
j Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMITTYPE: ACCORDION SHUTTER
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Address:
3320 CARACAL DR. FT. PIERCE
:Property Tax ID M Lot No.6
,Site Plan Name: RIVER POINTE AT THE SANDS Block No.
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'Project Name:
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INSTALL 131-ACCORDION SHUTTERS.
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!Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
;Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6150.00 Utilities: —Sewer —Septic Building Height:
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Name DIANE DICKSON Name:VAUGHN HOSKINS
Address:3320 CARACAL DR.. Company:V H EXTERIORS INC
City: FT. PIERCE State: TL. Address:543 NW WAVERLY CIR.
Zip Code:,34949 Fax: City: PORT ST. LUCIE State:FL.
Phone No:516-524-9537 Zip Code: 34983 Fax: 772-871-2567 .
E-Mail: Phone N0772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License21579
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:TOWN BCOUNTRY IND Name:
Add ress:40d WEST MCNAB RD. Address:
I City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone954-970-9999 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.
it 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.
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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
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"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
i TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
j WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of.Owner ssee o Agent for Owner Signature 6f Contras r/License Holder
STATE OF'FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The f r oing instrument was acknowledged before me The f Ing Instrument was acknowledged-before me
thil day of +72by thisday of 20 by
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Name of persoOnaking statement. Name of pers4l making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Si ature of Notary Public-Stile of Florida) igrikure of Notary Publl -State of Florida)
Commission No. ,Y LASI(I 4INGRAM•RAHMING ommission No. (Seal)
W COMMISSION#GG 275060
.t::AHNA ij'RAM•RAHMIN
EXPIRES Dammbeft.20"
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REVIEWS: FRO PLANS VEGETATION SEA TURT,R w 5
COUNTER REVIEW REVIEW REVIEW REVIEW REVI
DATE
RECEIVED
DATE
COMPLETED
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