HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' – -� Permit Number: { lo—
Building Permit Application o ' °
Planning and Development Services 01�°�
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
I
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 2900 N Highway A1A-Unit 2D
i
Legal Description: The Atrium on the Ocean Unit 2-D
i
Property Tax ID#: 1425-702-0004-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Fargo
i
Setbacks Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION OF WORK:.
CONSTRUCTION .INFORMATION:
Additional work to be nertormed under tispermit–check all fh2 appy:
HVAC Gas Tank Gas Pi in _Shutters Windows/Doors
❑ _ ❑ P g ❑
Electric 0 Plumbing Sprinklers D Generator D Roof Roof pitch
Total Sq. Ft of Construction:-6 ,5T, *7 S7. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
Cost of Construction:$ /&J
I
OWN ER/LESSEE: CONTRACTOR:
Name J Frank Fargo Name: Edward J Heritage
Address:2900 N Highway AIA-Unit 2D Company: Folding Shutter Corporation j
City: Fort Pierce , State:FL Address:,1862 Dr Martin Luther King Blvd
Zip Code:_34949 Fax:n/a City: West Palm Beach; State:FL
• 33404 • 561-640-8204
3b4-2i673136,1-, ':, : Zi .Code. - . . Fax.
Phone No. Zip
.Code:
n/a 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.
I
I
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 Owner/Le s eContractGr-arAgent for Owner Signature of Contr tar Li se-Hot�er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The for ping instrument was acknowledged before me The forgoing instrument was acknowledge me
this�day of C)�`T— 2011by this �' day of vel 20 1 ` by
EDWARD J HER1+AGE EDWARD J HERITAGE
(Name erson acknowledging) (Na erson acknowledging)
Gly
(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 Produced
Commission No. ''zG279? (Seal) Commission No. Seal) Evans
t y Pamela A.Evans tpa 45, amea
NOTARY PUBLIC Q NOTARY PUBLIC
Woe,
STATE OF FLORIDA :-TATE OF FLORIDA
Revised 07/15/2014 Comet#GG262789 Comm#/GG262789
Ex ires 10/11/2022 •s"��F''��� Expires 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS