HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ce Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential
PERMIT TYPE: SHUTTERS
. .
PROPOSED IMPROVEMENT LOCATION,:.
Address: 1499 NW WILD OLIVE CT, PALM CITY, FL 34990
Property Tax ID #: 4426-815-0022-000-2
Site Plan Name:
Project Name: PHILIP KRON
Lot No.
Block No.
p..17,,-111,-x!?1,.:!.. SCRIPT":WORI
Installation of Hurricane Protection
CONSTRUCTION INFORMATI
Additional work to be performed under this permit—check all that apply:
Mechanical
Electric
Total Sq. Ft of Construction:
Cost of Construction: $ 29,365.45
Gas Tank
Plumbing
Gas Piping Shutters Windows/Doors
Sprinklers _Generator Roof
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
Pitch
Name PHILIP KRON
Address:1499 NW WILD OLIVE CT
City: PALM CITY
Zip Code: 349" Fax:
Phone No.631-3766 Mr. Kron
Name. Robert Altino
Company. Galeforce Hurricane Shutters, inc.
State: FL Address:1429 SE Villiage Green Drive
E m ai l MLBICPCKaol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: Port St. Lucie
Zip Code: 34952
P h one N o 772-337-6200
Fax:
State:
Em a itgaleforcetc@gmail.com
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
VØ
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 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--esIdent 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
AIWP
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA <-,
COUNTY OF L.) Pit NT Lid. c_t e-
Sigrfere-5-C-O-r7t7-actor/License Holder
STATE OF FLORIDA e.
COUNTY OF sef-ALNI:1 1 LA
The fj2rgoing instrument was acknowledged before me
this Zit day of si-e, , 202-0 by
The forgoing instru e t was acknowledged before me
this Zit' day of , 202-0 by
'Robe_r-i-- a 14-i r) 0 ()' beei- PO iitth_
Na me of person making statement.
Personally Known / OR Produced Identification
Name of person ma<ing statement.
Personally Known 17 OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
PC4tAZ
(Signature of Notary Public- tate of Florida )
AO Gabrielle Symons Pohle
Commission No. im, JADIARY PlibEid)
(Signature
..*?..,
Commis[{'
of 1 eta
.A 'II ,
---‘5'
ry:libetilla- erAltrida I
NOTARY PUBLIC
1 E OF FLORIDA (Seal)
Stik zi STATE OF FLORIDA
11
-1141tris
97.,.
Comm# GG367483
REVIEWS
• ....., Ciarom#
p R it AI ' ExPA5RN 2/2°2 SUPERVISOR
COUNTER
GG367485
REVIEW REVIEW
PLANS
REVIEW
Expires
VEGETATION
REVIEW
9/1212023
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19