HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
Old -voo
Building Permit Application
Planning and Development Services 1
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 ,Commercial Residential x
PERMITTYPE: STORM PANELS.
"PROPOSED IMPROVEMENT LOCATION:
Address: 8305 MULLIGAN CIR, PORT ST LUCIE, FL 34986
Property Tax ID# 3327-502-0115=000-3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION:OF WORK:
STORM PANELS
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that appI
_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:$�_ �,(�� Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FREDERICK CREUTZER IV Name:GARY.WHIGHAM
Address:2337 WHISPERING DRIVE Company:SOUTH FLORIDA ALUMINUM PRODUCTS
City: FOREST HILL State:_ Address:4807 SO US HWY 1
Zip Code: 21050 Fax: City: FT. PIERCE State:FL
Phone No: Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License 4973
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:
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 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 FO. MPROY NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RF.CO D AND
POSTE •.IDN H OB ITE BEFORE THE FIRST INSPECTION. IF YOU TO OBTAINJIN'AIYCING,—C SULT
WIT OU DER R AN ATTORNEY BEFORE RECORDING YOUR, TICE/ F COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Si natur n or icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instru e t ackn wledg�e�d,before me The forgoing instru ent was cknowledg,ed before me
t1 ay of by thi day of aV 2 by
Name of pers n making st to t. Name of perso making staterni t.
Personally Known 7OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
fi
2�
(Signatur of otary Pub ic-State of Florida) (Signature ailf Notary Public-State of Florida)
Commis ---fSea Comm se$�Y•p�6a'. 1ARY ANN MRTON-Ra)
70`PRr aVei�;-; I�ATON�'I - MY COMMISSION 11 FF953138
•'= MY COMMIS. 1 $t FE153118
EXPIRES J n�u(a�rp 24.2020 +4a ;i9tt o 9a a�orm,,N :rv,rc::.vr
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REVIE ��a's�s. �JRON,iondaN,a'YSdVk!A'b5 UPERVISOR PLANS VEGE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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