HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I o�b�f Permit Number:
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COUNTYEIVED
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- Building.Permit ApplicaPlanning 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
PERMIT TYPE: ,e �.s
PROPOSED IMPROVEMENT LOCATION:
Address: 1868 WILDCAT COVE DR,FT PIERCE,FL 34949
Property Tax ID#: 1425-620-0031-000-8 Lot No38
Site Plan Name: Block No.
Project Name: WALTER CAMILLA S
DETAILED DESCRIPTION OF WORK:
INSTALL(15)ACCORDIONS,(2)ELECTRIC ARMOR SCREEN ROLL UPS,(1)MANUAL ARMOR SCREEN RIUP (3)IMPACT BAHAMAS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_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:$22000.0.0 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE': CONTRACTOR:
NameWALTER CAMILLA S Name:Jeffrey Tollison
Address:1868 WILDCAT COVE DR . Company:All American Shutters&Glass
city: FT PIERCE State: Address:1638 Donna Road
Zip Code: 34949 Fax: City:West Palm Beach Stater
Phone No.267-625-6253 Zip Code: 33409 Fax:
E-Mail: Phone No 561-712-9882
Fill in fee simple Title Holder on,next page(if different E-MailPermits@allamericanshutters.com
from the Owner listed above) State or County License CGC 1512423
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Add re ss: Add ress:
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 thepermitholder 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 Horne 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 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 COMMENCE�iI LENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co_v7ac&rA'1c6srHolder
STATE OF -PpSTATE OF m OUNTY OFORIDA�If-�ti'1'1 � .�
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this�day of�.2L"d�-L,26ACL by this 5�—'�day of(,0�� .20 IA by
Name of person making statement. Name of person mak'ingg/statement.
Personally Known —OR Produced Identification Y Personally Known V _OR Produced Identification
Type of IdentificationType of Identification
Produced 'D l— _Y Produced_
(Signatu of otary Publi`4 �f Floriqlgii�h N,Alparone (Signature of otary Public�A �f FloridRallph N.Alparone
Commission GG005916 -� Co missi n#GG005916
Commission No. N* _��� E Rll)0ct. 22, 2020 Commission Ex� �Ct. 22 2020
Bonded thru Aaron Notary ••• .�, Bonded thru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.217119