HomeMy WebLinkAboutPermit Application - St Lucie County - Carol MinerAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (49 " -2---D2-b
41111611101100
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578 Commercial
Permit Number:
Building Permit Application
Residential
PERMIT TYPE: SHUTTER
PROPOSED IMPROVEMENT LOCATION:
Address: 2558 NW Seagrass Drive 5B, Palm City, FL 34990
Property Tax ID #: 4425-601-0029-000-1
Site Plan Name:
Project Name. Carol Miner
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Installation of Hurricane Protection
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical
Electric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
Gas Piping
Sprinklers
Cost of Construction: $ 3,519.58
Shutters
Generator Roof
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
Windows/Doors
Pitch
OWNER/LESSEE:CONTRACTOR:
Name Carol Miner
Address:2558 NW Seagrass Drive 5B
City, Palm City
Zip Code: 349" Fax:
Phone No.802-558-5597
cminervtyahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State: FL
Name: Robert Altino
Company: Galeforce Hurricane Shutters Inc
Address: 1429 SE Villiage Green Drive
City: Port St. Lucie
Zip Code: 34952 Fax:
Phore N o 772-337-6200
State:FL
[-m a imaleforcetc@gmailcom
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
I certify that no work or installation has commenced prior to the issuance
St. Lucie County makes no representation that is granting a permit
which is in conflict with any applicable Home Owners Association
structure. Please consult with your Home Owners Association and
ll consideration of the grantng of this requested permit, I do hereby
in accordance with the app-oved plans, the Florida Building Codes
The following building permit applications are exempt from uncergo:ng
accessory structures, swimming pools, fences, walls, signs, sc-een
'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
WITH YOUR LEND : 0.1juTTORNEY BEFORE RECORDING
to obtain a permit to do the work and installation as indicated.
of a permit.
will authorize the permit holder to build the subject structure
rules, bylaws or and covenants that may restrict or prohibit such
review your deed for any restrictions which may apply.
agree that I will, in all respects, perform the work
and St. Lucie County Amendments.
a full corcurrency review: room acc.tions,
rooms and accessory uses to anothe- non--esidental use
OF COMMENCEMENT MAY RESULT IN YOUR PAYING
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOUR NO I I I ' MENT."
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S.:4011,1111rOwn -r essee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Al N-i- /---t-t-c-t -67
: ature of : ractor/License Holder
' TE OF FLORIDA e-)
COUNTY OF &') N I L---i-te_46_,,
The forg6ng instrument was acknowledged before me
this 51itlay of s_c.ticie... , 20z0 by
The forgoing instruTent was acknowiedged before me
this 544' day of 0 (4.-ae., , 20)19 by
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Na me of person making statement.
Personally Known / OR Produced Identification
Name of person making statement.
Personally Known i/ OR Produced Identificat on
Type of Identification
Produced
Type of Identification
Produced
/
414ete. 14114—ttr-*(344Z-----4 / 1 / -P
(Signature of Notary Pub(Pc-
Gabrielle
Commission . ..-x-1. LOJARY.PUBLIC(SeR
State of Florida )
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(Sign: r01. ofac,itft$ S'M I-Io-ida )
'4,,,111 NOTARY PUBLIC
Comit, s., • STATE OF FLORIDA (Seal)
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STATE
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1 Expires 9/12/2021• .......,-
REVIEWS E rRION xPire5 21:11R83
COUNTER REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED —DATE
COMPLETED
1
ev. 2/7/19