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HomeMy WebLinkAboutPermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 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 PERMIT APPLICATION FOR: Shutter PROPOSED IMPROVEMENT LOCATION: Address: co 1 U tOOr-A UN Commercial Residential Legal Description: SHERATON PLAZA -UNIT THREE REPLATLOT 175 Property Tax ID #: 1432-806-0043-000-7 Site Plan Name: Project Name: Rosa Lee Pierce Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: I INSTALLATION OF HURRICANE SHUTTERS CONSTRUCTION INFORMATION: Additional wor to e orme under tis permit-c ec a apply: 0HVAC - Gas Tank []Gas Piping Shutters Q Windows/Doors 11 Electric ❑ Plumbing Sprinklers In Generator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 4,477.24 S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Rosa Lee Pierce Address: PO Box 2112 Name: Robert McNally Company: Palm Coast Shutters & Aluminum Products, Inc. City: Fort Pierce State: FL Zip Code: 34954 Fax: Phone No. Address: 675 4th St. City: Vero Beach State: FL Zip Code: 32962 Fax: 772-299-1958 Phone No. 772-299-1955 E-Mail: Giovanna(c@palmcoastshutters.com E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CBC1262166 -•-� �• —•1. a --nuw imu❑ce or commencement is requireci. LEMENTAL CONSTRUCTION LIEN LAW INFORMATION: NER/ENGINEER: _ Not Applicable : N/A FAddres E COMPANY: _ Not Applicable s: Fress: City: State: Zip: Phone State: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: OWNER/ rnNTRerrnR ACCIM/1r. __ :___:__ •_ ,- City: Zip: Phone: - -- ., - • • r�NNul-aiwh 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 WARNIN TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impro m nts to your p y. A Notice of Commencement must be recorded and posted on the jobsite beforo t first inspect• n. If ou intend to obtain financing, consult�vith lender o In atto�Vefore comet cin work or r cor n our Notice of Commencemerff 7 �6L6 �_ � I � ( 4 er/ Le see/Contractor as Agent for Owner Signature of Contractor STATE OF FLORIDA STATE OF FLORIDA COUNTY OF fy)_)a*-sJ ,2,,l -9- COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me this I_ day of �eeT?z?µ,p, g7k 20_2o by Rosa Lee Pierce Name person making statement Personally Kno n V OR Produced Identification Type of Identif' ation (Signatu Commission No REVIEWS E VED PLETED Rev. 8/2/17 The forgoing instrument was acknowledged before me this I day of ,'S laze- 20 20 by ROBERT MC NALLY Name of person making statement Personal) wn� x OR P�(oduced Identification Type of dent;ific Zn / AUS I IN CHARLES MCNALLY Ly�"Ov�� "7OTary wvna St�GEix PlonBa�.;My COMMA # GG 247236 Coal) EXPIRES: October 1, 2022 oc v: :;^Ce4 T!: u Notary Publk UnQerW1km FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW