HomeMy WebLinkAboutBuilding Permit Application ` All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�' Permit Number:
RECETV�C1
K-1 ym- i
SEP 202019
Building Permit Applicatio
ST. Lucie County, 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
PERMITTYPE: SHUTTERS
PSR'OPOSED IMPROUEMENTsLOCATIQ .�k , h' . . •>:
Address: 5210 INDIAN BLEND LN FORT PIERCE, FL 34951
Property Tax ID#: 1312-800-004-000-5 _ _ _ _ _ _ _ _ _ _Lot_No.173
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTfON OF
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INSTALL 6 ARMOR SCREEN
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CONSTRUCTION INFORMATIO
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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: 1 Sq. Ft. of First Floor:
Cost of Construction:$ I�, l Q Utilities: —Sewer _Septic Building Height:
OWNER/Ls te.ry. ..y"°+y io r � 31 TeNi mtttr^•-,r izrrz�s n.w-,z.^-r s COrS }"ICO.VTRAEEE
s
NameMARK WALSH Name:THOMAS L PEASE
Address:5210 INDIAN BEND LN Company:FLORIDA SHUTTERS INC
City: FORT PIERCE, FL State:_ Address:1055 COMMERCE AV
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No.734-625-1209 Zip Code: 32960 Fax: 772-567-3674
E-Mail:MARKEAUX53@ICLOUD.COM Phone N0772-569-2200
Fill in fee simple Title Holder on next page(if different E-Mail DANIELA@FLORIDASHUTTERSINC.COM
from the Owner listed above) State or County LicenseCBC015453
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.
SIJP�P EM TAIC®NTRIJCTIONLI`EN ` V1/�INFORMATIONi
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 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 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."
Signa, ofw er/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 11A (Rt) ALJ ' COUNTYOF knallQn 1k)-Q V
The fmoing instrument was acknowledge before me The for ing instrument was acknowledge before me
this n. day of lrt l� 20fby this May of 20E by
1r" mac, S
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identification V/ Personally Known ` OR Produced Identification
Type of ldentifirztion Type of Identification
Produced - � — - - -- - Produced- - --- -- --- - - -
Ir
(Signature of Notary Publi - " Signature of Notary u ic„ a e o 0r
��v v�•., E NICOLE EMERICK ;;•tnµv r r •, L I TREJO
NotaryPublic•State of Florida ` Notar Public-State of Florida
1• •:
Commission No. ae C �.).ion 8 GG 300750 Commission No. commiss(SeG#03721
•,oF F`° My,ComrTo Expires Feb 11,2027 v: My Comm.Expires May 10,2021
Bonded through National Notary,,ssr.. Bonded through NalionalNolaryAssn,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19