HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED YY��
Date: `a- Ij 77 �,PW Permit Number: p-�V�j�
Building Permit Applicatio� ., 7��� b
Planning and Development Services �h4aQ� 10�®
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 V`' �4'
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Shutter Installation
P,,RC?PC}51=1 Fllfk Rn�f F-N-AL 'T
Address: 5107 Fort Pierce Blvd,Fort Pierce,FL 34951
Property Tax ID#: 1301-603-0103-000-0 Lot No.
Site.Plan Name: Block No.
Project Name: Alan Luna
aTAILi=D �ECRIPTI{3N r1w1t{7R14
6 .. x _
Installation of Hurricane Protection 1 Q 4 i
j
I
AJ;
Additional workto 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:$ 1,570.31 Utilities: _Sewer _Septic Building Height:
. I
auuNE�/� s >�ffr CONTRACTOR
... K,,.a, .. �e�a<r ,,,✓.�. -d � _;apy;
NameAlan Luna Name:Robert Altino
Address:5107 Fort Pierce Blvd Company: Galeforce Hurricane Shutters,inc.
City: Fort Pierce State:FL Address:1429 SE Villiage Green Drive
Zip Code: 34951 Fax: City:Port St. Lucie State:Fl
Phone No.Adel 772-770-2120 Zip Code: 34952 Fax:
E-Mail:adel@cmfloridainc.com Phone No 772-337-6200 j
Fill in fee simple Title Halder on next page(if different E-Mailgaleforcetc@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.
' I
I
I I
SUPRLEMEtTALCC�NTRUCTIONIEN&CAIN All 7,
DESIGNER ENGINEER. Not Applicable
.. E _ � �..,E . . MORTGAGE COMPANY: No . _ca
x..
/ t Applicable'
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indilcated.
I certifythat 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 Horne Owners Association rules, bylaws or and cove na nts 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&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 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 FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN NT:
gn teriFof wne aontractor as Agent for Owner Sig natuContractor/Lic older
STATE OF FL
COUNTY OFORIDA Sires � e_ COUNTY OF
STATE OF ORIDAs��
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �Q 20 1--Qy this_t9
day of ( 2Q_Z by
Name of person statement. Name of person making statement.
Personally Known —OR Produced Identification Personally Known__—OR Produced Identification
Type of Identification Type of Identification
Produced � L. Produced___
{{{111 I�, V
.:. `�61A t�r
(Signature of Nota ub Nil O i �A(/ ignature �'Ei -
Commission No. __ {MOT �P�fit y6� � mmissi °`c if _ Ib�# or�li
§si n E2;o 9��c
_ x
2? AREVIEWS FRONT , ZONING SUPERVISOR PLANS VEGETATION SEATU T NGROVE
COUNTER REVIEW REVIEW REVIEW 'REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
I
i