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Building Permit Application
1 ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: l I � Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Shutter m PRCtPfl5ED IMPROVEMI,, LOCAT(C?N W$ .E a. Address: 6007 Adonidia PI Legal Description: Palm Grove S/D Blk L Lot 35(0.11 AC)(OR1 513-2477) Property Tax ID#: 3410-503-0373-000-7 Lot No.35 Site Plan Name: Block No. L Project Name: .Setbacks Front Back: Right Side: Left Side: DI*TAILED ©ESCRIRTION OF WOtK r a= F Installing four accordion shutters on the home. CCiNSTFtUCTIC�N �11FOR111�AT10N . . _ _. . a Additional work to be nertormed under t ispermit-c ec a ppy: �IHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric PlumbingSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 3000.00 Utilities:)Sewer O Septic Building Height: CWNER/LE SEE sg ems` . �' CCIITRAOR. s <.Y Name Thomas&Marilyn Carney Name: Jeff Jackman Address:6007 Adonidia PI Company: Master Craft Aluminum Products City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir Zip Code: 34982 Fax: City: Port St Lucie State.FI Phone No.561-715-7870 Zip Code: 34952 Fax: 772-335-0860 E-Mail: Phone No. 772-335-1177 Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com from the Owner listed above) State or County License: SCC131150586 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRtJCT1ON LIEN LAW INFORMATION DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:ThomassfLmv _ Name:m Add ress:so _Iia:et., Add ress: City: esce State: City: P �a� State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Add ress:sm4�s +r- 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 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. Signature o eVesse-/Contractor as Agent for Owner Signa /fContctor i rise Holder STATE FL STACOUNTY stL COUNThe for oing instrument was acknowledged before me The forment was acknowledged before me this day of /) 0 d� u 20 !2 by this -,day of 1U d t►2r✓h4-- 20 by Name of person making statement Name of personnaking statement Personally Known L/ OR Prod uced.Identification Personally Known ✓✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary P lic-State of Florida ) (Signature of Notary PuRc-State of Florida) p Sheryl D.Moore Sheryl D.Moore Commission No. NO ARYPU ) Commission No. ��Q YPUBLI6Seal) STATE OF FLORIDA a . o a STATE OF FLORIDA �: ; GornmW FF942382 M#FF942382 c ires 1/15/202 0 's tee° Ires 1/15/2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA ION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17