HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n ,,��
Date: Permit Number: C) G
AUG 117020
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V-I TT Re WIN-- VIP-" `" ='M " Permitting Department
Building Permit Application St. Lucie County
Planning and Development Services l
Building and Code Regulation Division Commercial Residential f
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Shutters
PROPOSEDJMPROVEMENT LOCATION Main flouse
Address: 7100 Maidstone Drive
Property Tax I D #: 3322-505-0109-000-2.
Site Plan Name:
Project Name: Gray
DETAILED DESCRIPTION OF WORK:
instaliatation of (1) Electric Roll -up shutter;. Electrical work by others.
New Electrical Meter Second'Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.100
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing `Sprinklers —Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 2916.00 Utilities: —Sewer —Septic
a
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamePatrlcla Gray
Name:John Fischer
Address:7100 Maidstone Drive
Company: Armor Screen Corporation
City: Port St. Lucie State: FL
Address:2744 Hillsboro Road
Zip Code: 34986 Fax:.
City: West Palm Beach State: FL
Phone No.
Zip Code: 33405 Fax: 561.841.8890
E-Mail:docpatl46@gmaii.com
Phone No561.841.8892
Fill in fee simple Title Holder on next page ( if different
E-Mail permitting@armorscreen.com
State or County License CGC1 599220
from the Owner listed above)
it value of construction Is Z500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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;SUPPL WNTALCONSTftrUCTION`l [ENIA", (N'1=0RNiATION:
DESIGNER/ENGINEER: _ Nbt Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantinga permit will.authorize the permit holder to build the subject structure
which is in. -conflict with any applicable Home Owners Association rules,.bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and revfew.your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work
in accordance with the approved plans, the Flbrida Building Codes and St. Lucie County Amendments.
The following building permit applications are. exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your.property. A, Notice, of Commencement -must be recorded in the public records of St.
Luce County and posted on.thejobsite before-the:first inspection. If you.inten.d to obtain financing, consult
wf't Ieoder-ar an.attorneV before comMencine work or recordine vour Notice of Commencement -
.
Si ureC�af(O_w�ne�r/_,�'sse_ :ontra Al �entforOwner•
Signature$Antractor/titcenseHolder
STATE OF FLORI A, �
COUNTY OF�u[.(,r?
STATE OF FLOR�B'A�,
COUNTY OF 4� c%��
S orn to (or affirmed) and subscribed befor¢ me of
Physical Presence or Online Notprization
this "day of- 6� AA , 2020 by
Swojm to (or affirmed) and subscribed before me of
✓ h ical Presen e r Online Notarization
this �ay of 2020 by
N-ri Ccm hq P,Ya�
��i j �l►OX
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification C7L--
Personally Known VIOR Produced Identification
Type of Identification
Produced( &- a — S/t� _b
Type of ntlflcation
Prod ed_
Signature of Notary Public- State of on d, u,, D R EA H
r e'
1 Notary Public -
Commission No.n, Commission
My Commis
of Notary Public- State of Florida)
Commission No. (Seal)
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