HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r _
Date:_ +�1 -rte Permit Number:
Building PermitApplication o
Planning and Development Services �w
Building and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial .Residential X
PERMITTYPE:SHUTTER
PROPOSED IMPROVEMENT LOCATION:
Address: 1320 NW LANCEWOOD TER., PALM CITY, FL 34990
Property Tax-ID n: 4-426-80.4-00.16-000-3 Lot No. !
Site Plan Name: IMPERIALE RESIDENCE Block No.
Project Name: IMPERIALE RESIDENCE
DETAILED DESCRIPTION OF WORK:. ,
INSTALLATION OF REMOVABLE SHUTTERS – itjyJal lTk
CONSTRUCTION INFORMATION;
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping gShutters _Windows/Doors
_Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor: it
Cost of Construction:$ 2,956.00 Utilities: —Sewer —Septic Building Height:
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-OWNER/LESSEE =_: .,ry. = CONTRACTOR:--- _
Name MICHAEL&PATRICIA IMPERIALE Name:JOHN C FISCHER
Address:1320 NW LANCEWOOD TER Company:ARMOR SCREEN CORPORATION j
City: PALM CITY State:_ Address:2744 HILLSBORO RD
34990 WEST PALM BEACH FL.
Zip Code: Fax: City: State.
Phone No. Zip Code: 33405 Fax: 561-841-8892
E-Mail: Phone No561-841-88920 ;
Fill in fee simple Title Holder on next page(if different E-Mail INSTALLADMIN@ARMORSCREEN.COM
from the Owner listed above): State or County LicenseCGC1522990 '!
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.
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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. il
In consideration-of the-granting of this-re lUested perrnit,I-do hereby agree that''i-will,-ih all respects,perform the"work- r
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 ORA ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signat a of Owner/Less ee/Contr for as Agent f r wner Signat of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF T-1.--DP—L� COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgpping instr ent was acknowledged before me
this 2Zday of ti1P _ 20,]� by this 1 '� ay of �f, 20W by
JOHN C FISCHER
Name of person making statement. Name of person making statement.
Personally Known \�21 OR Produced xxx OR Produced Identification
Type of Identification SHIR EYype;h@It�tific ion
Produced '`PRY Poa
,'r°.�.`� Notary Put)li@roAsteed Florida
•; Commis ion #GG 061648
"�9l ¢oc My Comm.Expires Jan 31,2021
......
. .�'� Bonded thro gh National Notary Assn.
(Signature of otary Public-State of Florida (Signature of Nota ry'15u
�,.;;�►;,,
ANDREA.HER NDEZ
Commission No�:L(Z70�2 l(o' (Seal) Commission No. =�° i s Notary#5ft�-State of Florida
'R •. Commission N GG 923758'
?,,,.d�` MY Commission Expires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE—' MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEWI�
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