HomeMy WebLinkAboutBuilding Permit Application o� t3'olo �aoo � S+.,, 63%)
All APPLICABLE INFO` aMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 1 \ Permit Number:
RECEIVED
JUN 2 0 2019
LW181
- .. Building Permit Applicat 011LUele County, permitting
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982 1/l
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8833 First Tee Road, Port St Lucie, FL
Property Tax ID#: 3334-500-0050-000-5 Lot No.�
Site Plan Name: Block No.
Project Name: Susan A Mullen
[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 ✓hutters -Windows/Doors
_Electric _Plumbing NSprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ ���� Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameSusan A. Mullen Name:Edward J. Heritage
Address:8833_First Tee Rd Company:Folding Shutter Corporation
City: Port St-Lucie State:_ Address 1-862.,-Dr.,Martin Luther King Jr Blvd
Zip Code: 34986 ::Fax:N/A' Citjr West Palm Beach State:FL
Phone No.917-841-7329`' Zip Code: 33404 Fax: 561-640-8204
E-Mail:N/A Phone No561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail info@foldingshutters.com
from the Owner listed above) State or County LicenseSCC131151041
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.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of 0 ontractor as Agent for Owner Signature of Con;-_ae icense Ho
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'R 1.j +w,k COUNTY OF 2,6lam, !?ted i
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this�day of �V s�� 2014 by this 111 day of 20 !9 by
rza,&"t 3
Name of person making!tatement. Name of person making statement.
Personally Known V/ OR Produced Identification Personally Known_�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-Stat e��fp c�rid I amela A.Evans (Signature of Notary Public-Stat�q, Fi0pmela A.Evans
�� NOTARY PUBLIC eQ NOTARY PUBLIC
Commission No.& Z4Z7� LATE OF FLORIDA Commission No.6-e-;?`Z?sOF FLORIDA
Comm#GG2627891 Comm#GG262789
'sN 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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