HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c1
Date: �J 5 1� Permit Number:
--.-_ - - - - RECEIVES?
Building Permit Applicatior MAY 15 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Shutter
I?;ROPOSED IMPROVEMENT LOCATION
Address: 6007 Alexandria Cir
Legal Description: Palm Grove'S/D Blk F Lot 10
Property Tax iD#: 3410-503-0179-000-7 Lot No.10
Site Plan Name: Block No. F
Project Name: Fritz Residence
Setbacks Front Back: Right Side: Left Side:
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DETALLED DESCRIPTION OF WORK
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NS-( A I1 ffiGco+v�t
CONSTRUCTION'FNFORIUTA"TION# _
Additional work toe nerformed under this permit—check a appy:
❑HVAC0 Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 101 Utilities:11Sewer❑Septic Building Height:
OWN'E'R/LESSEE CONTRACTOR:
Name Pauline Fritz Name: Edward J Heritage
Address:6007 Alexandria Cir Company: Folding Shuttertorporation"
City: Fort Pierce,',, .- state:FL Address:`1862 Dr Martin.Luther King Blvd
Zip Code' 34982 Faz:n/a City:.West�Paim,Beach - State:FL
Phone No.207=229-4912`':. ."',1; Zip,Code: 33404 „ . Fax: 561-640-8204
E-Mail:n/a Phone No. 561=683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
:SUPPLEMENTAL CONSTRUCTION LIEN-LAW I41F01R1/LATION
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 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.
s
Signature of Owner sse ctor as Agent for Owner Signature of Con c or L' er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALMBEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisdS day ofMn`1 20�by this 13 day of YUN" 20 11 by
EDWARD J HERI+AGE EDWARD J HERITAGE
(Name person acknowledging) (Na f person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known — OR Produced Identification Personally Known — OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.6'G'2ta-:�191 (Seal) Commission No.64r;Z`-2 7eq (Seal)
Pamela A.Evans �p ty q Pamela A.Evans
a�pRY� >> AS
NOTARY PUBLIC
a STATE OF FLORIDA o STATE OF FLORIDA
Revised 07/15/2014 0 = Comm#GG262789
Comm#GG262789 si �� xpires /2022
pires
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