HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /p�
Date: i2-, Permit Number:
RECEIVED
DEC 0_2019
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division
St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:Hurricane Shutters
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Address: 865 SE Festivo Ct,Port St Lucie,FL 34983
Property Tax ID#:3419-550-0036-000-6 Lot No.
Site Plan Name: Block No.
Project Name: William H Stewart Jr Nancy Stewart
D. AILED DESCRIPTIQN "RK:
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Installation of Hurricane Protection66,
CUNSTRUCTIC3N IIVFQRMATIQNn {�
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:$5,500.00 Utilities: —Sewer _Septic Building Height:
IC AC � ., ��f r
NameWilliam H Stewart Jr Nancy Stewart Name:Robert Altino
Address:865 SE Festivo Ct Company:Galeforce Hurricane Shutters,inc.
City: Port St Lucie State:FL Address:1429 SE Villiage Green Drive
Zip Code: 34983 ' Fax: City:Port St.Lucie State:I''L
Phone No.772-770-2120 CMF Zip Code: 34952 Fax:
E-Mail:accounting@cmfloridainc.com Phone No 772-337-6200
Fill in fee simple Title Holder on next page(if different E-Mailgaleforcetc@gmail.com
from the Owner listed above) State or County License CBC1251430
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.
1
WSIJPPLEMENTALCONSTRUCTIflN LIEN=LAINFORMATION
DESIGNER/ENGINEER. Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict with any applicable Home Owners Association rules, bylaws or andcovenantsthat 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 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
"WARNINC 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 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."
Signat of Owner/Lessee on radon as Agent for Owner Sign r ontractor/Li Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF 6 t �t-1(�1'Z COUNTY OF St UXICA,�� _
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_ day of - --,20j�by this_ day of C�P C_— 20 by
Name 4 person making statement. Name of person making statement.
Personally Known —OR Produced Identification_-- Personally Known —OR Produced Identification
Type of Identification Type of Identification
Produced--_ � -- Produced--- y--
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(Signature of Notary P (Signature of Nota
ELLEN VAUGHN .qPA�"�a/ L N VAUGHN
``04,,FV P"B!� ;2° ;--State of Florid�aa N''gqtar Public
Commission No. :: :State 0S(d6}ida-Notary Public Commission No. °• Snmmissiokr�l 4�G 270079
*= Commisslon #! GG 270079 =-'� QAC' My Commission Expires
My Commisslon Expires °�„�°�`� p
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