HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INEO MUST BE" TION'TO BE ACC
CONIPLETED`FOR i4PPLICAEPTED
'Date: Permjt'Nurri
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Building Permit Ap-plication MAR 12 2020
Planning and Development Services n
Baildi'ng and Code ieguladdn Division PPe r 5"i'i i tt i i'i g D-p c'
9't(�"i x.11
2300VirglgrgAvenue,FortPrerce:FL34982� F Cj county, r—
Phone:(772)'462-1.553 Fax .(772)462-15'Z8 Commercial R `sif
PERMIT APPLICATION :FOR: Hurricane Shutters
00ROPOSED IMPR�OVENIENT'LOCATION
Address: 8901 First Tee Rd Saint Lucie West FL 34986
Legal Description:. POD 33 at The Reserves Phase I Kinqsmill Lot-.33
Property Tax ID#:_ 3334-500-0044-000-0 tot No. 33
Site.Plan Name Block No.
Project Name:. Jeffrey & Mary Teems
Setbacks Front, 'Back: Right Side: Left-Side:
DETAILED;DESCRjI:PTION�OF WORK` '
Install Accordion Shutters
;CO TR-U- N 1 'I -"Q-
N' 1110ATIO N.
_
t,Acicl
itiona _wor <to e- a orme under this permitm.-e ec a appy:
CIHVAC• 1:Gas Tank ❑Gas Piping X. Shutters Q Windows/D'oors
Electric. 0 Plumbing Sprinklers FIGenerator 0 Roof . koof'pitch
Totaj,Sq, Ft of Construction:. - n S ; Ft.,of..First Floor:
Cost of Construction: ✓:$ r S Q Utilities: Sewer. Septic 'Building,Height
Name Jeffrey & Mary Teems Name: John Zervopolous
Address: -8901 Forst Tee Rd 'Company:- Advanced Hurricane Protection
City: Saint Lucie West, State: FL Address: 4517 SE Commerce Ave
2.p-Code:34986 Fax: City: Stuart State::Fl-
'Phone
L;P:hone No.. 561-436-5818 Zip-bode: 34997 Fax:
E-Mail:JDTeemsa_bellsouth.net Phone No. 772-220-1200
Fill in tee simple Title Holder on next page(if different. 'E-Mail: John@/advancedhurricane.net
from the.Owner listed above) 'State or County Licenser CBC1259339
if value--of construction is.$25Wor-more,.a RECORDED Notice ofCommencement li-requited.
iSUrPPLEI�/l°E.NTALlCON'S R<IJCTIOR! LIiENkLAU�'I�N F1QR6IUTATION# F-
.DESIGNERJENGINEER'.. _Not�Applicable MORTGAGE COMPANY: _Not'Applicable
Name; _ Name:
Address. Address:
City: State: City:: State:.
Zip;. ;Phorie�,, Zips Phone-.
,FEE-$IMPLE'TITLE`,HOLDER: _Not Applicable BONDING COMPANY: _Not.Applicable
Names Name:
:Address;` Address..
Eity City:
Phone: Zip,:, ;Phone:-
OWNER/'CONTRACTOKAFFIMITa.Application is hereby made t"btain a'permit;to do the work:and installation as indicated:
I certify that no work orinstallation has:commenced prior to.the issuance;of a permit:
St Lucie='Count makes.no representation that'isgranting a permit will.-authorizethe permit holder;to_build the subject structure
.which.is in con.lict:with any applicable,Nome Owners Association rules,.bylaws or,and covenants that may:restrict..or prohiblt such
structure.Please consult,wR your.Home Owners Association"and review your deed for any restrictions which may,apply,
In consideration°of tlie.grantmg'of this reguested'permit,l cl hei`eby agree that,l will,n-Al respects,perform the work
in accordance with the..approved plans,the-Flodda Building Codes and St.'Lucie'CountyAmendments:
The#oil owingbuilding permit'applications are exempt from_u n dergoi ng a full concurrency review:room additions;
accessory.sttuctures,swimming pools,4ences;..walls,signs;"screen rooms and:accessoev uses to another:non-`residential use
WARNING TO.OWMNER Your failure:tc Record a Notice of'Commencement.may fesult',in,your paying:twice for
improvements o your pro'p'erty:,A Notice of Commencement must,be recorded and posted on the jobsife
before the first Inspection If you intend t obtain financmg.,consult with:lender or an attorney before
commencin v, ork-or recordin o otice of Commencement:
ee
. Ignature g gnature of actor/Licen` Holder
caner/`.Lessee/Con r as A ent for Owner
s•a STATE F FLORIDA STATE OF FLORIDA
o C ='. . �i �1_ t tom► COUNTY OF Martin
OUNTY OF
ao
���•� The ,rgomg instrunientwas-acknowledged before me 'The ning:ins mentwas a knowled ed before me °
ff,��''
X this_day of YYlr'3a h 10�by this day of 20 1:by =
m
o
No 3 m 11_ '� V
°' Nameof;person_making statement
'Name' person making statement. in ig N
f Pyrpsonally Known I�OR-Rroduced Identification Personally Known�( OR Produced Identification o
N ° T e'of Identification Type of identification a o
wroduced Produced
two a
m 4 z w
� • so
t
(Signature of Notary Public-State-of Florida I ( ignature. ':Noiary'Public-State of Florida):
:Commission NoGG I7n!a5Sr ,(Seal).. CommGG133395issiorrNo: (Seal).
REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW
DATE'
AECEIVED-
DATE
COMPLETED.
Rev:8J2/17