HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Co air+-'—'r— Permit Number:
RECEIVED
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BUilding Permit Applicat on JUN 2 5 20119
Planning and Development Services ST. ►,Glciq Qqutity, Permitting
Building and Code Regulation Division --
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PER,MITTYPE:SHUTTERS
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Address: 8268 SANDPINE CIR. PORT ST. LUCIE FL.34952
Property Tax ID#: 3426-703-0039-000-7 Lot No.25
Site Plan Name: LAKE LUCIE ESTATES, PLAT#1, LOT 25 Block No.
Project Name:
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INSTALL 8-ACCORDION SHUTTERS
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Additional work to be performed under this permit—check all tha` ,ply:
_Mechanical _Gas Tank ^Gas Piping —Shutters `Windows/Doors
_Electric _ Plumbing _Sprinklers T Generator ^Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3900.00 Utilities: —Sewer —Septic Building Height:
x.4 $¥'✓spp
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NameFERNANDO RAUL MEJIA SANCHEZ, Name:VAUGHN HOSKINS
Address:8268 SAND PINE CIRCLE Company:V H EXTERIORS INC
City: PORT ST. LUCIE State: _ Address-543 NW WAVERLY CIR.
Zip Code: 34952 Fax: City: PORT ST. LUCIE State:FL
Phone No.772-353-0413 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No 772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail vhexteriorsinc@gmaii.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&COUNTRY IND Name:
Address:400 MCNAB RD. Address:
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.
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 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."
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Signature of Owner/Less /Contractor as Agent for Owner Signature of Cont c or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sTLucIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2S day of 'SV N .26A by -j'fV JW this_2S day of X V IV 0 20A9_ by v pViklf
NkvildWs Natkhyl
Name of personmakingstatement. me of persona making statement.
Personally Knowny OR Produced Identification 9pers Ily Known OR Produced Identification
Type of Identification �Q� a of entification
Produced �� prod d a
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(Signature of Notary Public-State of FloridF (Signature of NotaryPublic- ate of Florida) ?°Qm���e
Commission No. GG A %Io' s# Commission No. vt� 00`112. Ire
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE 6VANGROVE r
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW e
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