HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION' TO BE ACCEPTED
Date:
Permit Number:
qUC) 0`1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vrginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ><:7_
PERMIT TYPE:SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 3187 COLUMBRINA CIR, PORT SAINT LUCIE, FL 34952
Property Tax ID #: 3425-702-0024-000-3 Lot No 16
Site Plan Name: Block No.10
Project Name: ROY E. ARVIDSON
DETAILED DESCRIPTION OF WORK:
INSTALL 10 ACCORDIONS AND 1 LEXAN PANEL SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
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: $ 3536.94 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ROY E. ARVIDSON
Name: Jeffrey Tollison
Address:3187 COLUMBRINA CIR
Company: All American Shutters & Glass
City. PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.203-551-1550
Address:1638 Donna Road
City: West Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No 561-712-9882
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailPermits@allamericanshutters.com
State or County License CGC 1512423
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.
0
-St1RPLEMENTAL'.CONSTRU.CTION LIEN.LAW'INFORMATION:
DESIGNS 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:
I certifythat no work or installation has commenced prior to the issuance of a permit
St. Lucie Coun makes no repre§entation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with anY applicable Homeowners 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 1 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 rewrding vour Notice of Commencement.
Slefiature Of Owner/ Aien Lessee
Signature of or/ ense Holder
STATE OF FLORIDA !n
COUNTY
STATE OF �RIDA
O
COUNTY OF
The forgoing instrument was Pcknowledged before me
this ,01 day of 109W4IS 20 / by
The forgoing Instrumqpt was acknowledged before me
this / day of 20� by
(Name of pe on acknowledging)
(Name of person acknowledging)
S
a of Florida)
(Signature dt Notary Public7RPiroduced
(5gnat a of Notary Pub' State of Florida)
Personally Known Identification _
Personally Known OR Produced Identification
Type of Identification ProducedL
Type of Identification Produced
,, , Ralph N. Alparone
pi�ii
`.`p4„ del Ralph Id. Alparone
Commission No. _°' `�:
r--Commission; GG005916
Commission No. ;��
_ ��_ Commission # GG005916
'i
Expires: Oct. 22, 2020
; Expires: Oct. 22, 2020
Dulluu ��''aa i iF.�DUIIUUU L111U
Revised 07/15/2014
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