HomeMy WebLinkAboutBuilding Permit Applicationry' 0 g02201ti00rtea "..
ALL 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 rComrrlerdialj�jam Residential
PERMIT APPLICATION FOR: Shutter --------------
PROPOSED IMPROVEMENT, LOCATION:
Address: 3704 N A1A 801, NORTH HUTCHINSON ISLAND FL 34949
Legal Description: GRAND ISLE OF NORTH HUTCHINSON ISLAND CONDOMINIUM (OR 2231-1190) UNIT 801. (OR 3568-3)
Property Tax ID #: 1423 807 0026 000 7
Site Plan Name:
Proiect Name: ABDEL-HALIM
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Additional worK to be errormecl under this permit — checK all t= apply:
11HVAC ].,Gas Tank E]Gas-Piping ✓ Shutter =«<`'' ^ ,'.r,.:-Windovjrs/Doors
1.. ..M .1.Yj .. ,J \i• ti L., 4. .. i. .
Electric 0 PlumbingSprinklers Generator Roof
Total Sq. Ft of Construction.:Sq.
of First Floor:
111
Cost of Construction: $ % 7i %33 Utilities: []Sewer M Septic Building Height:
OVI/N�ER/LE=�SSEE:
CONTRACTOR.
NameJAMAL ABDEL-HALIM
Name: CHARLES J. STYPULKOWSKI
Address:2287 STONEBURY,WAY - ,
Company.: FOLDING SHUTTER CORPORATION
City: WELLINGTONs..a,r, nrr. State:Fl-
I
Address;,?Q89'_HEMSTREET.PLACE
p 33414 ' "? Faz''''`;'-
City �WEST,PAI�M.BEACH; = State: FL
Phone No<561-385.1;91.4 1r.; d ,
trs"t�''33413-o3 �` �pr4 r' 561-640-8204
Zip; Code Fax:
��� � :��,it; t� $,Y,>';
E-Mail: i'' "�f I1;"' `' x '
Phone No.
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: SCC131150802
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSI"Rl1CTl®N LIEN LAIN INF®R+MATI'®N:
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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work'or recording vour Notice of Commencement.
STATE OF FLORIDA ? _ _ _r,�
COUNTY OF (�,4(W P3 eAc'
The for oing instrument was acknowledged before me
this a day of 5fpY' 20 14 by
(Name of person acknowledging)
(Signature of Notary Public- to of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. Ff ITa` 7 (Seal)
PAMELA A. EVANS
STATE OF FLORIDq2At
COUNTY OF ��77
The forgoing instru ent was acknowledged before me
this otsdayof 2014 by
des J. Stypuikowdd
(Name of person acknowledging)
(Signature of Notary Pub ic- Stdte•of Florida
K)
Personally nown OR Produced Identification
Type of Identification Produced
Commission No.1 F S074f (Seal)
-..Qv._ PAMELA A. EVANS
STATE OF FLOK'uia STATE OF FLORIDA
Revised07/15/2014 Comm#FF150967
1112018 WComm# FF150967
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