HomeMy WebLinkAboutPermit Application_Lucas_5413 Seagrape Dr ,
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 Li — OS — .2-b2.6 Permit Number:
H,„--
,
COUNTY s
FLORID
Building Permit Application
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: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 5413 Seagrape Drive, Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0044-000-2 Lot No.
Site Plan Name: Block No.
Project Name: David Lucas
DETAILED DESCRIPTION OF WORK:
Installation of Hurricane Protection
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:
. Sewer Septic Building Height:Cost of Construction: $ 5,219 Utilities -_
OWNER/LESSEE:CONTRACTOR:
Name David Lucas Name: Robert Altino
Address:5413 Seagrape Drive Company: Galeforce Hurricane Shutters, inc.
City: Fort Pierce State: FL Address:1429 SE Villiage Green Drive
Zip Code: 34982 Fax: City: Port St. Lucie State:FL
Phone N o.772-408-3669 Zip Code: 34952 Fax:
E-m a il: dvlucasl@att.net Phone No 772-337-6200
Fill in fee simple Title Holder on next page ( if different E- Ma ilgaleforcetc@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:_
MORTGAGE COMPANY: Not Applicable
Name:
Address:Address:
City: State:City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 structurewhich 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR A . •_...blik;166 BEFORE RECORDING YOUR NO NCEME "
.........mMt_P lir
Signa 41711r, • -wner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF INT I-- tA C..I C-
S g ure o tractor/ [cense
STATE OF FLORIDA
COUNTY OF 1"_S(4-
The forgoing instrument was acknowledged before meThe
this 4-day of 202-co by
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The forgoing instrument was acknowledged before me
this Wbay of IL_ , 20 2../),by_0 _ANAL ,
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_A-piq.
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Name of person making statement.
Personally Known / OR Produced Identification
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Name of person making statement.
Personally Known /OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
(Sign tu re of Notary ublic- State of Florida babriene
"ge 0 NOTARY PUBLIC
Commission N o .-r 1,97 l'ATE OF FLORIDAit' ,!i --
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(Signature of Notary Publi State4 loridbriefie Symons PoNe
, 1 NOTARY PUBLIC
Commission No.63 (07 at:tit, . 16r-kh OF FLORIDA.:9 i. --."
, ilLif Comm# GG387483 Witittori Comm# GG367483
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REVIEWS FRONT
COUNTER
4` ,E l' Eo
ZONING
REVIEW
'res Unzrzuz%
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
t It Exp‘res
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19