HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l"�a l as Permit Number: ado -G-1
5
-_RECEIVED
Building Permit Application
Planning and Development Services I �I M 8 ® „x,20
Building and Code Regulation Division County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: SHUTTERS
PRC3P.C?SED IMROz1/EMENT LQCATIUIV f�
Address: 2465 NW Lakeridge Drive,Palm City,FL 34990
Property Tax ID#:4425-702-0003-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Jamie Marie Swanson Reichenbach(LF EST)
DETAILED DESCRIPTIC}N CSF WORK
e
Installation of Hurricane Protection
C{3NSTRUCTION INFC3RMATIQN:
Additional work to be performed underthis 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:$9,512.36 Utilities: —Sewer _Septic Building Height:
C}WNER/LESSEE , ACONTRATQR '
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NameJamie Marie Swanson Reichenbach(LF EST) Name:Robert Altino
Address:2465 NW Lakeridge Drive Company:Galeforce Hurricane Shutters,inc.
City: Palm City State:FL Add ress:1429 SE Villiage Green Drive
Zip Code: 34990 Fax: City:Port St. Lucie State:FL
Phone No.772-919-5603 Fred Zip Code: 34952 Fax:
E-Mail:fdeluck@floridian.cc Phone No 772-337-6200
Fill in fee simple Title Holder on next page(if different E-MaiIgaleforcetc@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.
S,UPP if ENTxAL CQNSTRUCTiION LIEN LAW INFOR°MATIC}N� w£r
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 priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR TTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEM NT A
Jignatur O ontractor as Agent for Owner Sig of Contractor/Licen _
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFyc'�
The forgoing instrument was acknowledged before me ThNfoggoing instrument was acknowledged before me
this'�a day of_v��n ---,20Z-" by this_��—day of 'Sam —_—_ 201p by
Name of 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— V,–L. IDL ----- Produced-- L�L ----_
(Signature of Notary Public-State of Florida ) Si natu`A iy
{ g Q�';i� tY
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COU . ' QiE REVIEW REVIEW REVIEW REVIEW
DATE
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COMPLETED
ev.217119