HomeMy WebLinkAboutBuilding Permit Application to .
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Date: Permit Num �
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Building Permit Appli ation MAY 29 o 2020
Planning and Development Services
Building and Code Regulation Division ;= i".;'3 i i�y r `;;,•.,� �„
2300 Virginia Avenue,Fort Pierce FL 34982 --. `''f �''I n t
Phone: (772)462-1553 Fax: (772)462-1578 Commercial fResid�enti'dl= �� � <s_.;;`; ",�3 FL__
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PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION
Address: 3200 N Highway AIA-Unit 903
Property Tax ID#: 1425-600-0079-000-4 Lot No.
Site Plan Name: Weiss residence Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: . l
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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:$ J�Sl�o Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: a CONTRACTOR:
Name Glenn&Virginia Weiss Name:Edward J Heritage
Address:2518 NW 121st•Dr Company:Folding Shutter Corporation
City: Coral Springs State:_ Address:1'862 Dr Martin-Luther King Blvd
Zip Code: 33065 _ ;Fax:"nla City: 'West,Palm Beach State:FL
Phone No.954-422=3809 Zip Code: 33404 Fax: 561-640-8204
E-Mail:nla Phone No 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail info@foldingshutters.com
from the Owner listed above) State or County License SCC131151041
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 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.
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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Own essee/Co or as Agent for Owner Signature of Cont r r License er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F PALM BEACH COUNTY O F PALM BEACH
The for oing instrume-q was acknowledged before me The forgoing instru nt was acknowledgediefore me
this day of i`t? t� ,20.20by this,? day of �� 20 by
EDWARD J HERITAGE EDWARD J HERITAGE
Name of person making statement. Name of person making statement.
Personally Known - OR Produced Identification Personally Known - OR Produced Identification
Type of Identification Type of Identification
Produced Produced
EVOM
(Signature of Notary Public- V-0410E1
riff (Signature of Notary P t �`',l�
N ARY PUBLIC eN RY fyuBLIC
-rE OF FLORIDA �� STATE OFFLC�IDA
Commission No. 1alCommission No. oatComm#GG262789 , omm#G 89
Ex fires 10/11/2022 �s/Weis s Expires 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.