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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: tides b'\�4� Permit Number: a RECEIVED DEC 2 0 ,�19 Building Permit Applicati n ST. Lucie County, Permitting 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 PROPC1SED IN[PR01lEMENT LOCATION Address: 6032 Santa Magarito Dr. Legal Description: PORTOFINO SHORES PHASE TWO(PB 43-33) LOT 3 (OR 3721-1606) Property Tax ID#: 1312-502-0010-000-5 Lot No. 3 Site Plan Name: Block No. Project Name: GEORGE GORODESKI Setbacks Front Back: Right Side: Left Side: IaETA31LE© DESCRIPTION OF WORK . , INSTALLATION OF HURRICANE SHUTTERS .3 ,GONSo TUCIN 1NFORMQN Additional a work toe e orme un er!his permit—check a appy: HVAC Ei Gas Tank []Gas Piping RShutters Q Windows/Doors nElectric 0 Plumbing Sprinklers 11 Generator E] Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 9,464.65 Utilities:Sewer Septic Building Height: OWNaERjLESSEE CONTRACTOR ,:�. q`. Name GORODESKI, GEORGE Name: Robert McNally Address: 6032 SANTA MARGARITO DR. Company: Palm Coast Shutters&Aluminum Products, Inc. City: Fort Pierce State: FL Address:. 675 4th St. Zip Code: 34951 Fax: City: Vero Beach State: FL Phone No. Zip Code: 32962 Fax: 772-299-1958 E-Mail: Phone No. 772-299-1955 Fill in fee simple Title Holder on next page(if different E-Mail: Giovanna@palmcoastshutters.com from the Owner listed above) State or County License: CBC1262166 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFRMAT(flN z' DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: N/A 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 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 o n attor b fore commencing work or recording our Notice of Commenc 00, X G, Signature of Owner/Lessee/Contractor as Agent for Owner Sign for ''ense H der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF r(Z!l�,,\ '��1➢��ti COUNTY OF INDIAN Rlv COUNTY The forgoing instrument was acknowledged before me The forgoing instruent was acknowledged before me this�day of 6'C l��/JQr ,20_4 by this_!Tday of J 1r 20 19 by GEORGE GORODESKI ROBERT MC NALLY Name of person making statement Name of person making statement Personally Known OR Produced Identifications Personally Known x OR Produced Identification Type of Identification Type of Identification Produced o bProduced (Signature of (Signa re of Notary Public-S to of Florida) EZOZlBZl�O s�! 3 e �� CYNTHIA D Commission N 8 )8Z JJ u0!ss!wwo��t Commission No. �tD��D�iS(7 Mi.';, uBAOI : Notary Public- toJ096:7 o( atap!�olj jo eie1S o!Ignd ti8WN se�'� ' : commission G`� p 1My Comm.Ex it Y toNn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUR LE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17