HomeMy WebLinkAboutBuilding Permit Application05
0LosSa0Q0 ofo
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: fw/—(3-72✓
RECEIVED
Building Permit Application AUG 'o 3 2020
Planning and Development Services Per1T°tting DePartn
Building and Cade Regulation Division St. Lucie Count
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 18502 Tranquility Base Ln - Port St Lucie
Property Tax ID q: 3215-801-0064-000.4 Lot No.11
Site Plan Name: Hammer Block No. 3
Project Name: Hammer
DETAILED DESCRIPTION OF WORK:
bS0 5�1�rLra2 ''7F
C[SA•�. ,SJoR-�'t ,fir
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:$ lyr P39 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jeffrey &.Lynda.Hammer -
Name: Edward J Heritage
Addre'ss:1100,Cjystal Dr , .:
Company: Folding Shutter Corporation
City: Princeton-,. - ' State: _
Zip Code: 55871 « - :,, Fax:'Wa
Phone No.612-817=2119
Address:1862 Dr Martin Luther King Blvd
City: West Palm Beach State. FL
Zip Code: 33404 Fax: 561-640-8204
Phone No 561-6834811
E-Mail: n/a
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 LIEN LAW 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
Name:
Zip:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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.,FINANC_ING; CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
SiIRR006f.0 Ider
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF PAw BEACH
The forgoing instrument was acknowledged before me
The forgoing instrffe was acknowledged before me
this _ day of 20_ by
this �! day of 5 20 -70by
m U iE
EDWARD J HERITAGE c -�,O 9
Name of person making statement.
Name of person making statement. w' a a
<ro�
Personally Known OR Produced Identification
Personally Known ra ' } .'OR Produced Identificatiq
Type of Identification
Type of Identification'
a. z
Produced
Produced (0
�C\AT O,y
B
c rP
a
6 W
r 2
(Signature of Notary Public- State of Florida)
l&&MIPUBLIC 111M
(Signature of Notary PuT"VE1
STATE OF FLORIDA
Commission No. (Seal)
Commission No. Do R962789
E:xpires10/11/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Hev. Z///1y