HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
COUNTY
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 APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 3906 Duneside DR
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 32
Property Tax ID #:
Site Plan Name:
1423-566-0035-000-5
Project Name: Chris L Albe
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF HURRICANE SHUTTERS
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work tojje neorme under this permit — check a appy:
HVAC L_J Gas Tank E]Gas Piping Shutters Windows/Doors
ZElectric ❑ Plumbing U Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S. of First Floor: _
Cost of Construction: $ 3.708.00 Utilities:tSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Chris L Alberg
Name: Robert McNally
Company: Palm Coast Shutters & Aluminum Products, Inc.
Address: 3906 Duneside DR
City: Hutchinson Island State: FL
Address: 675 4th St.
Zip Code: 34949 Fax:
City: Vero Beach State: FL
Phone No.
Zip Code: 32962 Fax: 772-299-1958
E -Mail:
Phone No. 772-299-1955
E -Mail: Giovanna@palmcoastshutters.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CBC1262166
IT vaiue OT construction is �zsuu or more, a KECpKDED 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:
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 thepermit 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement- _-� /7 11,
( / 11
Signature of Owner/ Lessee/Contractor s Agent for Owner Signature of Cont
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Jf" LiLa- COUNTY OF '"oIA" RI
The forgoing instrument was acknowledged before me
this 10 day of June , 20_ by
Chris L Alberg
Name of person making statement
Personally Known OR Produced Identi
Type of Identification
Produced 4:7L02104JD21 1,9?—
a� �z
of
a A� A
> N a N p
ignature fffoKoiary Pu c- State of Florida)
za = E
a E
Commission No.4;rtsYLVAI (Seal)
E
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Holder
COUNTY
The forgoing instrument was acknowledged before me
this day of .-1 v 1 f 120 by
ROBERT MC NALL"
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
(Signature of
Co I Notary public State of 1`10r4a
My commission GG 287006
Wires 01 /261202
PLANS I REVIEW VEGETATION EV EWS REVIEW LE MANGROVE REVIEW