HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U — 2(4 - 2-1:72() Permit Number:
• - . -,...! .
COUNTY
FLORIpli.'-'
Planning and Development Services
Building and Code Regulation
2300 Virginia Avenue, Fort Pierce
Phone: (772) 462-1553 Fax:
Building Permit Application
Division
FL 34982
/(772) 462-1578 Commercial Residential
PERMIT TYPE: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 34 Silver Oak Drive, Port St Lucie, FL 34952
Property Tax ID #: 3426-500-1297-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Gregory Kimstach
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:
Cost of Construction: $ 8,743.61 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
N ame Gregory Kimstach Name: Robert Altino
Address:34 Silver Oak Drive Company: Galeforce Hurricane Shutters Inc
City: Port St Lucie State: FL Address:1429 SE Villiage Green Drive
Zip Code: 34952 Fax:City: Port St. Lucie State:FL
Phone N o.646-573-2690 Zip Code: 34952 Fax:
E-Mail:Phone No 772-337-6200
Fill in fee simple Title Holder on next page ( if different E-M a 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 ind cated.
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 andcovenants that may restrict or p -&ib't ss,ck
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-resident al 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 FINANONC, CONSULT
WITH YOUR LENDER OR . . TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Sign re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF c.
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A 1 NT' 1—Lt cI C:
Signatu_.:406 . ntractor/License Hold -
STATE OF
FLORIDA
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COUNTY OF 1±1 APT 1--1-4._Li e-
The forgoing instrument was acknowledged before me
this 24 day of ,2O2g by
The for oing instrument was acknowledged before me
this_it day of tj tAari_.-e.— , 20 20 by__ja_e_,
A" 1 4--1.*
Name of person making statement.
Personally Known If OR Produced Identification
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
___Vi
Type of Identification
Produced
A ' /_11A- l
(Signature of of Notary Public SiIe
oORY 48, NOTARY PUBLIC
Commission No. ) ct STATE OF Ftefkill6A
IA * Comm# GG367483
(Signature of Notary P., bi&it iw6iiiritsigie)
.AiktY
• NOTARY PUBLIC
Commission
%Lie Comm# GG367483..a.,0, ‘ .,.
REVIEWS
' V Expires
FRONT
COUNTER
9/12/2013
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
# E Is Expires
VEGETATION
REVIEW
9/12/2023
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
.ev.2/7/19