HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
N a me: TOWN R COUNTRY IND
Name:
Address: 400 WEST MCNAB RD.
Address:
City: FT LAUDERDALE State: FL.
City: State:
ZIp:33309 Phones5a-s7o-ssss
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 OUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor gent for Owner Signat a of Contrac icense
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me The forgoing instrumen was acknowledged before me
this 13 day of S 4?JC
2014 by this 13 day of _S4.Q , 20L by
_ VA��1nN ��ski�S �pvq�� �osk►nf5
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification rsonally Known OR Produced Identification
e ofIdentification
Type of Identification tyro'd
Produced uced
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(Signature of Notary Public State of Florida) ( I ature of Notary Public- State of Florida) CL E o
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Commission No. (Seal) G Cs 29 2 a
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0�0��x Commission No. GIG 2.q 01 ;L (Seal)
REVIEWS
FRONT
ZONING
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PLANS
VEGETATION
SEA TURTLE
A �
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 211119
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0 �
Building Permit Application
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: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9419 S. OCEAN DR. JENSEN BEACH FL. 34957
Property Tax ID #: 3535-333-0001-460-4
Lot No.46
Site Plan Name:
6
Block No.
Project Name: ISLAND VILLAGE
DETAILED DESCRIPTION OF WORK:
INSTALL 6 - ACCORDION SHUTTERS -
-- ---- -----
OIVSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all thatapply:
_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: $ 2530.00 Utilities: —Sewer —Septic Building Height:
Name DAVID LETO
`
Name: VAUGHN HOSKINS
Address:9419 S. OCEAN DR.
Company:V H EXTERIORS INC
City: JENSEN BEACH State: rk-
Address:543 NW WAVERLY CIRCLE
Zip Code: 34957 Fax:
City: PORT ST. LUCIE State: FL.
Phone No.954-806-0341
Zip Code: 34983 Fax: 772-871-2567
E-Mail:
Phone No772871-6484
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.