HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —t
Date: r\\ 0 Permit Number:
y f RECEIVE®
SEP.:r Building Permit Applic tion 1 9 "019
Planning and Development Services ST. LUcle County, Permitting
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: �� o
PRaP6SED IMPROVEMENT LOCATION
Address: 775 SE Airoso Blvd
Property Tax ID#: 3419-545-0046-000-3 Lot No.8
Site Plan Name: River Park 6 Block No. 58
Project Name: MacDonald Shutters
1,,'b,i:tAl�'LE'.'D,""�D,ES.CRIPT[ON DF 1NORK "$" ° !f �
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Install Accordion Shutters-4 openings
C0NSTR[r dlP',N INF;ORMATIQN
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2238.00 Utilities: —Sewer _Septic Building Height:
C}WNERf LESSEE CONTRACTOR
Name Sandra MacDonald Name: Karl Kandel
Address: 775 SE Airoso Blvd Company: White Aluminum
City: Port St Lucie State:_ Address: 2880 SW 42nd Ave
Zip Code: 34983 Fax: City: Palm City State:FL
Phone No.772-878-5561 Zip Code: 34990 Fax:
E-Mail: Phone No 772-212-1400
Fill in fee simple Title Holder on next page(if different E-Mailastaples@whitealuminum.com
from the Owner listed above) State or County License CBC 025116
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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SrUPPLEMENTALC�N5TRUCT.ION LIEN LA110INF.ORMATION' � ;
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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 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."
/Ad��"v /A/Or""
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAf STATE OF FLORIDA
COUNTY OF �, C� COUNTY OF
The for oing instru nt as cknowledge efore me The oing instru e t w a knowledgeca fore me
this da of 20by this day of 20_ y
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Name of person-making statement. Naml of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat re of Not 4Publlic- ate of Flori a (Signatu aof Not Public-State of ridsof Florida y�bi Commission No. Notary Fub � � Commission No. AStapeste of Florida
gela Step es My Commission GG 235102 < My Commission GG 235102
2022 07/04/2022
REVIEWS F VI G SUPERVISOR PLANS VEGETATION S ATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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