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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I V , Permit Number:
RECEIVED
Mang 0
_ OCT 162019
- - -- _ Building Permit Application
Permitting Department
Planning and Development Services St. Lucie county
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Shutter
PROPOSED, IMPROVE ME-NT'LOCATI0N.:
Address: 6520 Alemendra, Fort Pierce, FI
Legal Description: Spanish Lakes Fairways Blk 75 Lot 27
Property Tax ID#: 1306-500-0372-000-5 Lot No.27
Site Plan Name: Swigert Block No. 75
Project Name: Swigert
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: -. ,.,,
.K i'J-S f�4 U P'S
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor: .
Cost of Construction:$ It/ �� Utilities 1n Sewer 0 Septic Building Height:
OWNER/LESSEE:. CONTRACTOR:
Name John&Kathleen Swigert Name: Edward J Heritage
Address:6520 AlemendraCompany: Folding Shutter Corporation
City: Fort Pierce State:FL Address: 1862 Dr Martin Luther King-Blvd
Zip Code: 34951 Fax:nla City: West'Palm Beach State:FL
Phone No.330-936-3187 Zip Code: 33404 Fax: 561-640-8204
E-Mail:nla Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owrler/Vessee/Contr or as Agent for Owner Signature of Con ra r/LicenseA old r.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The foyygoing instrument was acknowledge before me The for oing instrument.was acknowledged before me
this 06 day of .`�S�r 20��by this day of S�,f�rt' 20 by
EDWARD J HERI+AGE EDWARD J HERITAGE
(Name erson acknowledging) (Name of person acknowledging)
"4' Ce-. Ge-.
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known — OR Produced Identification Personally Known — OR Produced Identification
Type of Identification Produced Type of Identification Prod o
AQ'lAUBLI � oNOTARY PUBLIC
o
NOT �Y PUBLIC Q
Commission No. c� _STA '6)FLORIDA Commission No. ESTATE&PI)DRIDA
0 o Comm#GG262789 Comm#GG262789
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•-/41c—E19%- Expires lull 112022 F I Expires 10/11 i2 22
Revised 07/15/2014
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