HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater ad Permit Number:
RECEIVED
MAR 1 2 .. 90
Agawam Building Permit Appliea i 1luc 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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION
Address: 8588 Gallberry Circle,Port Saint Lucie,FL 34952
Property Tax ID#: 31023-703 LIOR-000-9 Lot No.�
Site Plan Name: ,5,4VAN ty+ COVE Block No.�_
Project Name: Linda Kuehn
DETAILED ._
DESCRIPTION OF WORK:
Hurricane Shutters (6) Clear panels (10) Accordions
`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: $4,950.00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR: ,
_
NameLinda Kuehn Name:Mike Zanetti
Address:8588 Galiberry Circle Company:Mastercare Shutter Corp.
City: Port Saint Lucie State:FL Addre55:12980 South East Suzanne Drive
Zip Code:34952 Fax: City:Hobe Sound State:FL
Phone No.508-369-2419 Zip Code: 33455 Fax:(772) 545-3297
E-Mail:rmll61orrainekue@hotmail.com Phone No (772) 545-3300
i Fill in fee simple Title Holder on next page(if different E-MailMfetty@Mastercareshutter.com
I from the Owner listed above) State or County License
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.
U.PPL MENTAL CONSTRUCTION. Lf,N,LAW INFORM=ATI Ift
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: �NotApplicable
Name: Name:
Ad d ress: 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
"WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSP N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OU NDE O AN ATTORNEY BEFORE R RDIN YOUR NOTICE OF C MMENCEMENT n
Si nature of w r/Less a/Contractor as Agent for Owner Signature C tractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'Y\,oAvr) COUNTY OF_A &AIA ----�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this []_day of_ %{� �. 1�—,2075 by this 1/G day ofPlrr 201P by
Name of person making statement. Name of person maki�tatement.
Personally Known_—//—OR Produced Identification__— Personally Known _—OR Produced Identification
Type of Identification Type of Identification
Produced --_---- Produced---
�4,ON Notary Public State of Florida
Rebecca E Stephens
MAW Oftc- Notary Pithlien State of Mij-
My Commission GG 958848
(Signature of Notar . �
a{teb6a@tgphens (Signature of Notary Pu i.- o Fo i a
+� v My Commission GG 958849
OF Expires 02/16/2024
Commission No S a Commission No.------ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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