HomeMy WebLinkAboutBuilding Permit Application071)1 aaaly P&O
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
, 5W40E�
(COUNTY
FLO R 1 D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: ;t PT 6 f-7T-
Building Permit Application RECE&CE,
AUG 112f -
Permitting Depart.
St. Lu&<Ount
Commercial Residential
PERMITTYPE: hl/S
PROPOSED IMPROVEMENT LOCATION:
NAA—_ 210 Ramie Ln -
Property Tax ID #: 3419-515-0077-000-6 Lot No.13
Site Plan Name: Block No. 22
Project Name: Hennings
DETAILED DESCRIPTION OF WORK:
�- fyoS l s'411 D K1 E. �i!
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank ` _ Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: p rsc,
Cost of Construction: $ 4 / ` ` 6
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul & C.onnte klennings
Name: Edward J. Her itage_
Address:2922 SW Sandbar St y
Company: Folding Shutter Corporation
City: Port St Lucie 81 , -`; . State: —
Zip Code: 34953 Fax n a-1
Phone No.772-807-0132
Address:1862 Dr Martin Luther, King Blvd
City: West Palm Beach State: FL
Zip Code: 33404 , - Fax. 561-640-8204
Phone No 561-683-4811
E-Mail: Fla
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@foldingshutters.com
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•CIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable .BONDING
COMPANY:
Name:
_Not Applicable
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.
1 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."
ev.
�naYuJ�f:O%ner/Less sAgentforOwner
;Signat
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF anunBEACH
The f going instrum nt was acknowledged before me
The f oing instrument was acknowledged before me
�
this day ofX�, 20_ by
✓
this day of � 20_ by
EDWARDJ HERITAGE
EDWARDJ 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
Produced
Produced
Produced
(Signature of NotaryoPt 1' - St@6eieFaFAo6da));
(Signature of � Puplilnefd':ft�iF3orida )
,NOTARY PUBLIC
NOTARY PUBLIC
Commission No. � ESTATE OF �HA94IDA
Commissio OF FLORID!{$eal)
� Comm# GG262789
� $Comm# GG262789
's� e
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