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HomeMy WebLinkAboutBuilding Permit Application l All APPLICABLE INFO baUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �l Date: f Permit Number: V ~00 Wil Building Permit Application pUG ©51020 Planning Development iServices r e y nt Building and Code Regulation Division St.Lue 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: . SHUTTERS P'f���C►5�'.,�I�3� ��� IrN�"`Lt?CP� # , �`� ', ` ��.: , ,��� � `� ��. � �p �� ,���� Address: 2024 NW Laurel Oak Ln,Palm City,FL 34990 Property Tax ID#:4425-605-0045-000-1 Lot No. Site Plan Name: Block No. Project Name: John Moreland i ys'� 44!% � Fi l � �a i s . ''`--'C ;a. 3sf Installation of Hurricane F%� (�� '" a*, '�~. � o #1 � 31�1NE� ' � a .v ;'« °,f`;ra,,,. ,, '§ �.. b?•'--�", "ate.,. . ,�$'' ', ... °;,'.- � t ul - a; '.s .w' `{. P�$, a .xr�` `&1l `, v'.CSO Additional workto be performed under this permit—check all that appl - _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric Plumbing Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$12,000.00 Utilities: —Sewer —Septic Building Height: AN r# € �.° " FK"i:'.F Y C✓t"4M� fY552 b S ;'h 4.sp tel. x.t EJ4 ^v "'0 Lu"^, 4 �T"_ � v ° ^tea S a r a L r :¢ Sr.F ,� . ,. . �, �� ©N3RCTt3f�. air. �: ..:�->_a,,.H ._ .> rh.. s . tet. . ..ti�<, ,. .�1, NameJohn Moreland Name:Robert Altino Address:2024 NW Laurel Oak Ln Company:Galeforce Hurricane Shutters,inc. City: Palm City State:FL Address:1429 SE Villiage Green Drive Zip Code:34990 Fax: City:Port St.Lucie State FL Phone No.908-656-1595 , Zip Code:34952 Fax: E-Ma!I:johnmoreland2@gmail.com Phone No 772-337-6200 Fill in fee simple Title Halder on next page(if different E-Mailgaleforcetc@gmail.com from the Owner listed above) State or County License CBC1251430 i If value of construction is$25d0 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. I� SaU ft MENTAL "ON51"RUC1'ION LIEN LAW INFORMATION` Wl 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. 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 exemptfrom 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 FlLING, CONSULT WITH YOUR LENDER TT BEFORE RECORDING YOUR OM MENT" ignature of r/Lessee Co \ Agent for Owner Sig ure of Contra nse er STATE OF FLORIDA n Q p STATE OF COUNTY OF ORI_ �-�_ t _ COUNTY OF "`—� � The forgoing insed before me The forgoing instrument was e�eavle�ged before me this day of= acknowle by r this da 0 by NAf e o ate ent. N e of pe maki ement. Personally Known___OR Produced Identification_ sonally Known OR Produced Identscation Type of Identification Type of Identification Producedl_(=D_ _Y Produced__ (Signature of (Signatur u lic- to of Florida ) `I1pFY PVei, ELLEN VAUGHN ,,,,��P,,, Commission N _;_° -_State of Floridggtqg ry Public �"" °o% ELLEN VAUGI�A I' Commissi a.Stara of al) - ommission GG 270079 --^- *ida-Notar Public °y �,� �y <c Commission # GG 2y %',F �o�, My Commission Expires 70'079 4"";4NREVIEWS FRONT ZONING SUPERVISOR PLANS EGE GROVE COUNTER REVIEW REVIEW REVIEW REVIEW_ REVIEW REVIEW; DATE RECEIVED DATE COMPLETED ev.