HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO? MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 1848 WILDCAT COVE DR, FORT PIERCE, FL 34949
Property Tax ID #: 1425-620-0036-000-3 Lot No.
Site Plan Name: Block No.
Project Name: MARCELLO, MARV PAT
DETAILED DESCRIPTION OF WORK:
INSTALL (2) ARMOR SCREEN ELECTRIC ROLL UP
CONSTRUCTION INFORMATION:.
Additional workto be performed underthispermit— checkallthatapply:
_Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors
Electric —Plumbing Sprinklers _ Generator ' Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 15,17892
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Sleight:
OWNER/LESSEE:
CONTRACTOR:
NameMARCELLO, MARY PAT
Name: Jeffrey Tollison
Address:1848 WILDCAT COVE DR
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.732-861-6595
Company: All American Shutters & Glass
Address:1638 Donna Road
City: West Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No 561-712-9882
E-Mailpermits@aRamericanshutters.com
E-Mall: NJSFWCMARYPAT@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CGC 1512423
If value of construction Is.52500 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:
Add ress:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Ad d ress:
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 Horne 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 FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C ENCEMENT,-
Signature of o t or/Lic nse Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 3i- Lid 'P_- CDUn!U
STATE OF FLORIDA
COUNTY OF 5t- La-6 e— 0—b
The forgoing instrument was acknowledged before me
this _LJ_ day of —, 20 g by
The fo Ding instrument was acknowledged before me
this _} day of U k6 4`20-a—C, by
o reel I D
J-e--------
Name of pe on making statement.
Name of person linaldng statement.
Personally Known — OR Produced Identification _�
Personally Known V___OR Produced Identification
Type of Identification
Type of Identification
Produced_ �r
Produced—
nature of Nota y Public- a of FI id ]
{S nature of NotaPublic- 5t of FI rid
Coigmission No, (seal)
Commission No. 4' ' I,D5ga (Seal)
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Rev. _<� 61i>p 00� Sasha Gonzalez
Notary Public, State of Florida =
N Q My Comm. Expires 08 15 2024 Notary Public, State of Florida
My Comm. Expires 06 15 2024
Commission No. HH 10592
F o 9r P Commission No. HH 10592