HomeMy WebLinkAboutBuilding Permit Application I'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) ��
Date: / •/ Permit Nu Y C1
L-4MED
s
Building Permit Applicatio i -OCT 16 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division Jt. Lucie County,, FL
2300 Virginia Avenue,Fort Pierce FL 34982 y
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
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PERMIT APPLICATION FOR: Shutter
PROPOSED INIRROVEMENT LOCATION
Address: 6602 Citrus Park Blvd
Legal Description: LAKEWOOD PARK-UNIT 9- BLK 117 LOT 11 (MAP 13/01 N) (OR 2785-2843: 2993-2737)
Property Tax ID#: 1301-611-0364-000-2 Lot No. 11
Site Plan Name: Block No. 117
Project Name: Barbara Saraduk
Setbacks Front Back: Right Side: Left Side:
ETAILED DESCRIPTION`OFWORK
INSTALLATION OF HURRICANE SHUTTERS
CONSTRUCTION INFORMATION =
Additional work toe e orme under this permit—check a appy:
11HVAC f Gas Tank ❑Gas Piping YJ Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 768.44 Utilities:n Sewer Septic Building Height:
OWNERJ'LESSEE ', CONTRACTt�R _
;.. ._ . ,
Name Barbara Saraduk Name: Robert McNally
Address: 6602 Citrus Park Blvd. Company: Palm Coast Shutters&Aluminum Products, Inc.
City: Fort Pierce State: FL Address: 675 4th St.
Zip Code: 34961 Fax: City: Vero Beach State: FL
Phone No. Zip Code: 32962 Fax: 772-299-1958
E-Mail: Phone No. 772-299-1955
Fill in fee simple Title Holder on next page(if different E-Mail: Giovannaapalmcoastshutters.com
from the Owner listed above) State or County License: CBC1262166
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: N/A 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an 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 Commen en .
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License olds -
STATE OF FLORIDA—L n / _ STATE OF FLORIDA
COUNTY OF __L/-/�/) l/y/�� ���1/ COUNTY OF INDIAN RIVER COUNTY
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-LQ-day of 204 by this JL4 day of 20 19 by
Barbara Saraduk ROBERT MC NALLY
Name of person making statement Nerson ma i g statement
Personally Known OR Produced Identification Personally Known X Produced Identification
Type of Identification Type of Id ficatio
Prod uc L 4'_) C f "l(aQ Produced
(Signature of Notary ublic-State of Florida) (Sig
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`= ssc�aZ JJ uolsslwwo t
CoK?rNotary Public State of Florida (Sqal) Com ission lvo. O w al)
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JVExpires 01/26/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17