HomeMy WebLinkAboutPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTER
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4621578 Commercial Residential
PERMIT TYPE: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 3000 N HIGHWAY AIA APT 7D, FORT PIERCE, FL 34949
Property Tax ID ##: 1425-756-0024-000-4 Lot No.
Site Plan Name: Block No.
Project Name: AJT Family Beachfront Investments L
DETAILED DESCRIPTION OF WORK:
INSTALL (4) ACCORDIONS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all thatapp�ly-
_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: $ 12672.81 Utilities: —Sewer —Septic Building Height:
OWNERAE5SEE:
CONTRACTOR:
NameAJT Family Beachfront Investments L
Address:8181 SW 110th TER
City: Coral Gables State: FL
Zip Code: 33156 Fax:
Phone No.305-962-3311
Name: Jeffrey Tollison
Company: All American Shutters & Glass
Address: 1638 Donna Road
City: Fest Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No 561-712-9882
E -Mail: PEPETONI@AOL.COM
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Maillcastillo@allamericanshutters.corn
State or County License CGC 1512423
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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applicatlor 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 appldcable Home owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 exemptfrom undergoing afull concurrency review: room additions,
accessory structures, swim mirg 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."
Signature of Owner/ Lessee/ ontractor as Agent for Owner Signature of C n r/License Holder
STATE OF FLORIDA STATE j� COUNTY FLORIDA
COUNTY OF d,�mn !
The forgoing instr ent was ac. nowledged before me The to oing instNment was cknowledged before me
this 1# day of _ �'j� , 20 W by this I day of 20.60 by
Name of person making statement. Name nilmaking statement. —
Personally Known _--OR Produced Identifcation _ v_' Personally Known _ 4- OR Produced Identification
Type of Identification Type of Identification
Produced---_�—_ Produced-- —�---_
(Signatur(e of Notary Public -(State of Flo(iida
Commiss
Commission # HH 10592
Bonded
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COMPLETED
eV. Z/ t/ L�' pie Sasha Gonzalez
r° Notary Public, State of Florida
My Comm, Expires 08.15-2024
�h i� mn. HH 10692
nature of Notary Public- Sfat4of
Gasha_COnzalez (SI)
Commission # HH 10592
emission Expires 06-15.2024
MANGROVE
REVI EW
�ppY P&6 Sasha Gonzalez
z° 'n Notary Public. State of Florida
11
NPce My Comm, Expires 06
-15-2024
No. HH 10592