HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
.2300 Vrginia Avenue, Fort Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
—
Address: 8113 CARNOUSTIE PL, PORT SAINT LUCIE, FL 34986
Property Tax ID #: 3327-503-0035-000-1 Lot No,
Site Plan Name: Block No.
Project Name: CONN, SAMUEL S
DETAILED DESCRIPTION OF WORK:
INSTALL (10) ACCORDIONS
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric —Plumbing _ Sprinklers T Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5211.31
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameCONN, SAMUEL S
Name: Jeffrey Tollison
Address:8113 CARNOUSTIE PL
Company: All American Shutters & Glass
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 770-851-1513
Address: 1638 Donna Road
City: West Palm Beach State:FL
Zip Code: 334.09 Fax:
Phone No 561-712-9882
E -Mail:
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
allamericanshutters.com
E-Mailpermits@affamericanshuffers.com
State or County License CGC 1512423
It value of construction Is 52500 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:
Add ress:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Ad d ress:
Add ress:
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.
certifythat no work or installation has commenced prior to the issuance of 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 exemptfrom 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."
Rev. 21 J/ Is
Signatur wne L sseeJContractor as Agent for Owner
Signature of n ens
orJLice Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF .
COUNTY OF 5-. U.IU+ -e_ — ---
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ILL day of _fi n , Z(ir�-b by
this day of 2a� by
nflRM I.l I (I I7 n
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Name of person making statement.
Name of persolri making statement.
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification —�
Type of Identificati
Type of identification
Produced L
Produced
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(signature of PuijijY s` 9.. or ' `
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{Sign ure otaryPublit ' tev Flo1jph .�lparane
Commission #GG005916
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Commission No. Exp{3alC}��t• 22, 2020
Commission No. = Fy;(Ila 22, 2020
'> � ��- ; Banded tnru Aaron Not,
c, ; boil tltru Aaron Notary
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Rev. 21 J/ Is