HomeMy WebLinkAboutBuilding Permit Application �c, t�ya9ao�o 003
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDd
Date: Permit Number:
N, =" _�.7 N?f_ _+ RECEIVED
• JUN 1 9 2020
-- - --- Building Permit Application
Permitting Department
Planning and Development Services St. Lucie county
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S Ocean Dr Unit 602
Property Tax ID#: 3535-603-0046-000-7 Lot No.
Site Plan Name: Kenneth&Karen Bontempo . Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that appl
_Mechanical _Gas Tank _Gas Piping 7hutters —Windows/Doors
—Electric —Plumbing —Sprinklers —Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ $y Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Kenneth&.Karen Bontempo_ Name:Edward J.Heritage
Address:8800.S Ocean Dr-Unit 602 Company:Folding Shutter Corporation
City: Jensen Beach State:_ Address!:1862 Dr Martin Luther King Blvd
Zip Code::.34957-,,; Fax:n1a City:. West.Palm,.Beach " State:FL
Phone No.561-676-9129 Zip Code:'33404 - Fax: 561-670-8204
E-Mail:nia 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 0 er sse ntractor as Agent for Owner Signature of actor/Lic Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The f foing instruwnt was acknowledged efore me The for cling instrument was acknowledged before me
this day of �S uks� 20� by this F day of ,209C3by
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
Prod u Produced
(Signature of Notary Public-Sta��4ff�Ispri gme a A.Evans (Signature of Notary Public- �f F
Q o� NOTARY PUBLIC Q o Y PUBLIC
Commission No. §T�TE OF FLORIDA Commission No. c oSTA� � FLORIDA
',t•. =Co GG262789 Comm#G�262789
s:•.. <=`� '=v ' s��CE 19�% x Tres 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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FOLDING SHUTTER SYSTEM (561)6 -
COMPLETE HURRICANE PROTECTION SOLUTIONS
Job 11j 1862 Dr. Martin Luther King Blvd. •West Palm Beach, FL 33404
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NAME TELEPHONE E-MAIL
BILLING ADDRESS STATE zlp
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JOB ADDRESS CITY STATE zlp
COLOR: White ❑ Bronze @- Beige ❑ Ivory ❑ Other:
D S G D
C T A BO R T N W R G R S I C O C K L
PU I 0 LLO UR NUUER UI AU OT NL UL EO
E M N 0 1 AD R A GI T o A M N I A A A S 0 T O Y C
N E 0 R N S R OPENING V C L L v C B D N R M C I S S S K
N R W G SIZE ED K E D A K E 0 D I K D E I E S FINISHED
G SIZE
ROOM WD X HT E R S G E E WD X HT PRICE
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<Total number of openings to be cover nits are numbered from left
to right as viewed from INSIDE OUTSIDE❑ ESTIMATED INSTALLATION: TO WEEKS
FOLDING SHUTTER CORPORATION SHALL FABRICATE AND INSTALL THE ABOVE PURSUANT TO THE TERMS AND CONDITIONS OF`THIS
AGREEMENT. OUR LIMITED WARRANTY BECOMES A PART OF THIS CONTRACT UPON FINAL PAYMENT AS PROVIDED IN THIS CONTRACT.
CUSTOMER'S RIGHT TO CANCEL — This is a home solicitation sale, and if you do not want the goods or services, you may cancel this
agreement by providing written notice to the seller in person,by email,or by mail.This notice must indicate that you do not want the goods
or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel
this agreement, the seller may not keep all or part of any cash down payment. CUSTOMER ACKNOWLEDGES READING THE FRONT &
BACK SIDES OF THIS AGREEMENT AND AGREES TO BE BOU D BY ALL TERMS AND CONDITIONS AS SET FORTH ON BOTH SIDES.
T TAL PRICE $ DATE
VNCBE
TESS PAYMENT $ CUSTOMER SIGNATURECt'e__�DUE AT
INSTALLATION FACTORY REPRESENTATIVE
$ ��{Q C>� SIGNATURE
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Unless signed by customer,the price quoted can be guaranteed for thirty(30)days only from
In owner's absence, name and phone number of contact for measuring, installation an pay
ALL CHECKS PAYABLE TO CONTRACT SU DDITIONAL
FOLDING SHUTTER CORPORATION TERMS REVERSE SIDE
S007 REV 01/2019 2500