HomeMy WebLinkAboutBuilding Permit Application Qp01a1?tqvmc���� ►�d
(,\7 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ® .1
•
- RECEIVED
- - Building Permit Applicati n MAR 12 2019
Planning and Development Services ST. Lucie CountyPermitting
Building and Code Regulation Division n g
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Shutter-
PROPOSED INPROVE MENT LOCATION:5605 S Indian River Dr, Fort Pierce
Address: 5605 S Indian River Dr, Fort Pierce, FL 34983
Property Tax ID#: 3401-311-0002-000-9 Lot No.2
Site Plan Name: Block No.
Project Name: Russel&Dagmar Chew
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
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:Coristrbction:$ Utilities: Sewer :'. Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Russell A-and Dagmar Chew Name::Edward J.Heritage
Address:'5665 S Indian River DrCompany:Folding Shutter Corporation
City: Fort Pierce State:_ Address:1862 Dr. Martin Luther King Jr Blvd
Zip Code-`-34982 Fax:N/A� City:West P61m Beach State:FL
Phone No.669-425-8316 Zip Code:•334Q4 Fax: 561-640-8204
E-Mail:NIA Phone No 561-683-4811
Fill in fee simple Title Holder on next page('if different E-Mail info@foldingshhuu�tt--ers.com
from the Owner listed above) State or County Aen�131151041
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.
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:
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 recotdin' our Notice-of Cornmericement:
Signature of Owner ee/Con tor as Agent for Owner Signature of Cor�_tr-ftor1442T15r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Paim Beach
The forgoing instrument wal acknowledged before me The forgoing instrument was cknowledge before me
this & day of �►� 201°1 by this day of Y�' ,20f�, by
Edward J.Heritage Edward J.Heritage
Name of person making statement. Name of person making statement.
WRID
Personally Known X OR Produced Iden ' ' Personally Known x . OR Produced Iden
Type of Identification Type of Identification m
Pro7 Produced
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(Signature of Notary Public-State of Florida)S O Z y (Signature of Notary Public-State of Florida) �.O
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Commission No.G-!r2(.�7i (Sea$ ; 5 1 Commission No�'G'�L�7�4 (Sealt �' N
o � � n o � 5
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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