HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q -10- 2.01.6 Permit Number:
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COUNTY
FLORID/L.—.
imariammisolor Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential /
PERMIT TYPE: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 2698 Conifer Dr, Fort Pierce, FL 34951
Property Tax ID #: 1334-505-0001-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Mary Wright
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: $ 4,900.10 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
Name Mary Wright Name: Robert Altino
Address:2698 Conifer Dr Company: Galeforce Hurricane Shutters
Fort PierceCity: State: FL Address: 1429 SE Villiage Green Drive
Zip Code: 34951 Fax:City: Port St Lucie State:FL
Phone No.772-579-0285 Zip Code: 34952 Fax:
E-m a il: marywright02@comcast.net
_
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 indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Courtymaks 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 Assoc.ation 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.'—..
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Signature of Owner/ Lessee/Corto s Agent for Owner
STATE OF FLORIDA
COUNTY OF
,
(111\J-1 LLLGIE
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF WI LULI &—
The foruing instrument was acknowledged before me
this of „MA- y , 2 0 to by
The forgoing instruai.gnt was acknowledged before me
this 1044tlay of •J L4. , 20Z-0 by.101**tay
Name of person making statement.
Personatly Known V OR Procuced Identification
Name of person making statement.
Personally Known / OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
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(Signature of Notawa •v c- . .: W&f uFgrwr?hle
.,..41a. :Ill NOTARY PUBLIC
Commission No L.' - STAT E OF NOWA
(Signaturw • gp. ryqa11614 Storiteszikitierid a )
ti,lt NOTARY PUBLIC
Com rnisI.glr ?I:STATE OF F_LORIDA (Seal)
0- ii 4- Comm# GG367483 -,>• it6-4 Comm#
41CF 19 Ex3ires 9/12/2023
...win. GG367483
litf isl Expires
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
9/1212023
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19