HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: j
PROPOSED IMPROVEMENT LOCATION:
Address:,400 N A1A-Unit PH-A6
Property Tax ID#: 1425-606-0082-000-6 Lot No.
Site Plan Name: Maher Block No.
Project Name: Maher
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank.. _Gas'Piping _Shutters _Windows/Doors
Electric
f_t`Plumbing1;" ,_Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 97 9( Utilities: t Sewer. _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Richard&Damian Maher Edward J Heritage
.
Name Name: 9
Address:3100 N A1A,-Unit PH-A6 Company:Folding Shutter Corporation
City: Fort Pierce State:_ Address:.1862 Dr Martin Luther King Blvd
Zip Code: 34949.' , Fax:nla City. West Palm Beach State:FI,I
Phone No.860-673-7529 Zip Code: 33404 Fax: 561-640-8204
E-Mail:ddmaher2@hotmail.com Phone No 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail info@foldingshutters.com
from the Owner listed above) 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.
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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 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 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."
Signature of Owner/ a or as Agent for Owner Signature of Co or/Lice der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-PALM BEACH COUNTY O F PALM BEACH
The forgoing instru ent was acknowledg before me The fo going instrum ent was acknowledge before me
this S' day of 20_ by this 5 day of �#_s� 20_ by
Edward's Her t4ge EdWbit'z stage;
Name of person making statement. Name of person making statement.
Personally Known xx OR Produced Identific RIDgy Personally Known xx OR Produced Identification
Type of Identification M Type of Identification
Produced a Produced
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Y01ii��0
m 0 Z -04 a 0 D0 �
(Signature of Notary Public-State of Florida) 6 a mm � D (Signature of Notar�� us-3t l§fPFI6
6) T o m �, NOTARY PUBLI
Commission No. (Seal) ,"— W ;v Commission No. a _STATE OF FLWgwo
N Q � N Comm#GG262789
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.