HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: as 1� Permit Number:
RECEIVE[
" JUN 2 5 20 119
Building Permit Applic�atio�nCounty, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:SH UTTERS
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Address: 10701 S. OCEAN DR. 637
Property Tax ID#: 4511-805-0038-000-7 Lot No.38
Site Plan Name: VENTURE OUT, SECTION C, LOT 38 Block No.
Project Name:
INSTALL 12-ACCORDION SHUTTERS
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Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping V Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3885.00 Utilities: —Sewer _Septic Building Height:
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Name NELSON MEDINA Name:VAUGHN HOSKINS
Address:10701 S. OCEAN DR. Company:V H EXTERIORS INC
City: JENSEN BEACH State: 1. Address:543 NW WAVERLY CIR.
Zip Code: Fax: City: PORT ST. LUCIE State:FL
Phone No.305-498-3965 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@gmail.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
Nal me:TOWN&COUNTRY IND Name: f
Address:400 MCNAB RD. Address: 1
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
ITH YOUR LENDER OR AN ATTORNEY BEFORE RECO RDIN YOUR NOT OF COMMENCEMENT." r
Signature of Owner/lessee/Contractor as Agent for Owner Signature of Contra or License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge before me
this 2LS" day of Z5V N L 20A by q A,yV this 2$ day of 5 V N Q, 20 by V AVJb W
1105 dnrS N of k1bis
Name of person making statement. Name of person making statement.
Personally Know OR Produced Identifica ' ersonally Known`y OR Produced Identification
Type of Identification �,a + pe of Identification
Produced o5`F�10-. Produced �`` Q
(Signature of Notary Public-St (Signature of Notary Public-State of Florida)
Commission No. X4.�.���� '+4; Commission No.yG• ����l� e
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE NGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
�ev.2/7/19