HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /a
,Date: Permit Number: ` 1 /O -oo (�J
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Building Permit Application OCT 01 7.019
Planning and Development Services
Building and Code Regulation Division Permitting Department
St.Lucie Cnuntv
2300 Virginia Avenue,Fort Pierce FL 34982 /�`►(
j Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Shutters
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Address: 13308 NW Maplewood Road,Palm,City,FL 34990
Property Tax ID#:4426-815-0048-000-0 Lot No.
Site Plan Name: Block No.
Project Name:John Murray
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Installation of Hurricane Protection
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Additional workto be performed under this permit all that apply:p PP :Y
_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:$ 11,638.42 Utilities: _Sewer _Septic Building Height:
NameJohn Murray Name:Robert Altino
Address:13308 NW Maplewood Road 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.772-336-2410 Zip Code:34952 Fax:
E-Mail:jjm'ur7@hotmail.com Phone No 772-337-6200
Fill in fee simple Title Holder on next page(if different E-Mailgaleforcetc@gmail.com
from the Owner listed above) State or County License CBC1251430
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.
;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 clothe work and installation as indicated.
certifythat no work or installation has commenced prior to the issuance of a permit.
N.Lucie County makes no representation that is granting a permit will authorize the permit holderto build the subject structure
Which!sin conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
sltructure.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
iln 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 ORE THE FIRST INSPECTION. IF YOU INTEND TO OBWN FINANCING, CONSULT
WITH YOUR LEND AN A ORNEY BEFORE RECORDING YOUR NOTICE OF ENCE ENT
Sig re oPeRer Lessee/Contractor as Agent for owner g re of Con ractor/License Hol
ATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ COUNTY COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day o _ 20` by this__day of 0_ by
rne rs
a makingstatement. Na of e r s 6'n m i k'iMr'r e���
Personally Known--OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prod u d _ _ Produced
Si turep,Notary Public-State dj Flon a ) ( ' natur f Notary Public-State Florida )
Commission No.� _ (Seal) Commission r (Seal)
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