HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
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 TYPE: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Drive 865 Jensen Beach
Property Tax ID #. 4511-510-0066-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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Accordion Shutters T-rwe, of /e oPE„ii�✓4S
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: $ o v Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Craig Matthews Name: Gary Whigham
Address: 2142 SE Abcor Road Company: South Florida Aluminum Products
City: Port St. Lucie State: Address: 4807 So US Hwy 1
Zip Code: 34952 Fax: City: St. Pierce State: FL
Phone No. 772-370-1502 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 CRC1330712
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 subjett 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 iMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF CO CEMENT MUST BE RECORDED AND
POSTED O THE JOB SITE BEFORE THE FIRST INSPECTION. IF IN D TO OBTAIN FINANCING, CONSULT
WIT O Lill OR AN ATTORNEY BEFORE RECORDING �UR NO O E EMENT."
SkrrffrUre f ❑ see/Contractor as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sc L.de COUNTY OF Si Lucie
The forcing instrufnent was acknowledged before me The for ng instru ent was acknowledged before me
this day of {-- 200by this May 20�Dby
Gary Whigham Gary Whigham
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
)NVv
(igrikure y (Signature oV Notar Public- State of Florida j
u M.ARY ANN MATOW"I
.�ti: M.ARY ANN r NTI i
Commission a . _ MY 00 .1MiSSlO�(Sp�E)95313f3 Commission v.•a1�
EXPIRES January 24 2020 -:. _ yr? A M1SS: C.A! r; t FS}S: �3
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EXPIRES 1 iiti-ar • '-41-+ 1
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