HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /_
Date: (5— �.-f Permit Number: �,�V lU ��/ 1V
RECEIVED
•
Building Permit Application SUN ®A 2019
Planning and Development Services permitting Department
Building and Code Regulation Division
St.LL4cie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOS'ED..IMPROUEMENT LCICATI.QN
Address: 6715 Yedra Ave, Fort Pierce.
Legal Description: 06/07 34 39 PART LYG NELY OF 1-95-LESS SPANISH LAKES FAIRWAYS(PB 35-5)
Property Tax ID#: 1306-111-0001-000-0 Lot No,
Site Plan Name: Block No.
Project Name: Baji, Barbara
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
>✓YS.e t� .xn xR
INSTALLATION OF 8 ACCORDION SHUTTERS
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CORUCTION INFORMATION
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Additional work to be performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
1 Electric �Plumbing Sprinklers OGenerator �Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,825.13
Utilities. Septic Building Height:
OWNER/LESSEE CONTRACTOR .
Name Qaji, Qar ka'a
Name: Robert McNaliy
Address: 6715 Yedra Av Company: Palm Coast Shutters &Aluminum Products, Inc.
City: Fort Pierce State: FL Address: 675 4th St.
Zip Code: Fax: City: Vero Beach State: FL
Phone No. Zip Code: 32962 Fax: 772-299-1958
E-Mail: Phone No. 772=299-1955
Fill in fee simple Title Holder on next page(if different E-Mail: Giovanna(a-palmcoastshutters.com
from the Owner listed above) State or County License: CBC1262166
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: N/A 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 Commence
k.
Sig ature of Owner/Lessee/ tractor as Agent for Owner Signature of Contractor/License H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF //yplAa /V(—A COUNTY OF INDIAN RIVER COUNTY
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (NV(5 day of .20 9-6by this,-30 day of20 19 by
Barbara Bali ROBERT MC NALLY
Name of person making statement Name of person making statement
Personally Known OR Produced Identification_� Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced 7:7L e— 7� 'S�/� a P ced
Notary Public State Of Florida
Giovanna Drausal
GG 287096 -
(Signature o ry P 'I�- •e§ftlr4dl' 023 (Si reef
� otary Public state of Florida
Giovanna Drausal
Commission No. (Seal) Comm OJ} MVCommiw.tn, 287096 eal)
orn xPireeol/26/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17