HomeMy WebLinkAboutBuilding Permit Application ` I
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PLICA'BL�EINF/O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !�,(� (�
Date: o[� Y� Permit Number: C 0)_
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Building Permit Application RFc
Planning and Development Services Q(�0
Building and Code Regulation Division FFe2
2300 Virginia Avenue,Fort Pierce FL 34982 per�ht ?0?0
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residena !n9o _
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S Ocean Dr Unit 201
Legal Description: Island Dunes Oceanside Condominium II Unit 201
Property Tax ID#: 3535-603-0005-000-8 Lot No.
Site Plan Name: Block No.
Project Name: McDermid
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.`, ,a : .
77
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC [3.Gds T:ahk '0'' Gas Piping Shutters ?W-' inidoI;w.".'s,A%D:ro6r's
Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ ?) �d0 Utilities..Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Edward&.Judith.,McDermid Name: Edward J Heritage
Address:8800 s'Ocean'D'r'Unit2011 Company:;Folding:Shutter Corporation"
City: Jensen Beach State:F� Ad'dress: 1'862zDr'Martin Luther King Blvd
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34957".` _ :y= 'n%a' Wes't Palm Beauh;;; FI
Zip Code: Fax: City:.. State:
Phone No.772-229-3176 Zip Code: 33404 Fax: 561-640-8204
E-Mail:n/a Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 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:
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 or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/ sse - Factor as Agent for Owner Signature of Contra-- nse-o der
STATE OF FLORIDA/ L STATE OF FLORIDA
COUNTY OF COUNTY OF
The fyoing instrupTent-was acknowledg%5(efore me The forgoing instrument was acknowledged before me
this day of ��++ 20.—by this day of 20 by
Edwar�,Ji Herita Heritage
1 f, 9e. ° Edward'7i- 4
(Na erson acknowledging) (Nam erson acknowledging)
(Signature of Notary Pub/* State of Florida) (Signature of Notary Public-State of Florida)
Personally Known( OR Produced Identification Personally Known v/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
&.&2(-Z�? Z Pamela A.Evans Pamela A.Evans
Commission No. � I) Commission No. NOTARY }C
NOTARY PUBLIC ? o STATE OF FLORIDA
o STATE OF FLORID omm#GG262789
ys, 0 Comm#GG262789 m Expires 10/11/2022
Revised 07/15/2014 Expires 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS