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A.11 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: �vv�C ` y l_-
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Building Permit Applic tion JUN 2 6 2020
Planning and Development Services
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Building and Code Regulation Division pC i i' +:�-ir E"`J
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2300 Virginia Avenue,Fort Pierce FL 34982 t. ti w Fir ; i`6" �E r-(-•
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential — X -
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PERMITTYPE: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:'
Address: 6637 ALHELI
Property Tax ID#: 1306-500-0076-000-0 Lot No. 8
Site Plan Name: Block No. 40
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 5 ACCRDION SHUTTERS
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:$ 8,509.00 Utilities: —Sewer. _Septic Building Height:
OWNER/LESSEE: . CONTRACTOR:
Name ROCIO MANCHESTER Name:THOMAS L PEASE
Address:6637 ALHELI Company:FLORIDA SHUTTERS INC
City: FORT PIERCE State:_ Address:1055 COMMERCE AV
Zip Code:,34951 Fax: City: VERO BEACH, State:FL
Phone No.908-915-1173 Zip Code: 32960 Fax: 772-567-3674
E-Mail:rociogre@att.net Phone No 772-569-2200
Fill in fee simple Title Holder on next page(if different E-Mail danieia@floridashuttersinc.com
from the Owner listed above) State or County LicenseCBC 015453
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 JiLAW 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."
—ac met S -Lu fel Pe4
Signature of Owner/Lessee/Contractor as Agent for Owner Signature cif Contractor/License Holder
STATE OF FLOR A STATE OF FLORIAA
COUNTY OF �� 16 n �1 I/P .r . COUNTY OF�Z�//1i pq d��C
The ff�rgo ng instru ent was acknowledged before me The forgoi g instru ent was acknowledged before me
this Lay of 20�y this `�day of 20by
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Name of person making statement. Name of person making statement.
Personally Known It' OR Produced Identification Personally Known 1__�OR Produced Identification
Type of Identification Type of Identification
Prod ced Produced
(Signature of Notary Public-State of o ' (Signature of Notary Public-State of Florida
,•�iPK�F'i;''•., LETICIA TR'J ,c•tpraY� LETICIA TREJO
Commission No. �� _
No Public-State fpwpm sion No. /03 ;_°.� ;al) NotaryPublic-StateofFl ri
'+ •'s Commission#GG 1 3721 Commission k GG 103 1
M Comm.Ex fres Ma 10,2021 =:. sill�l My Comm.Ex fires M 20
one throughNalional olary Assn. r Bonded through National Nota As i
REVIEWS FRONT ZONING SUPERVIS VEGETATION SEA
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW: REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19