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HomeMy WebLinkAboutPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I-W-014 1 J 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 TYPE: PROPOSED IMPROVEMENT LOCATION: Permit Number: Building Permit Application Commercial Residential Address: 9047 SHORT CHIP CIRCLE, PORT ST. LUCIE, FL 34986 Property Tax ID #: 3334-501-0169-000-5 Lot No 31 Site Plan Name: Block No.D Project Name: CARUS09 PETER DETAILED DESCRIPTION OF WORK: INSTALL (20) ACCORDIONS CONSTRUCTION INFORMATION: Additional workto be performed under this permit —check all that apply: Mechanical _ Gas Tank —Gas Piping ,-*5hutters _ Windows/Doors _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $11924.48 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: NameCARUSO, PETER Name: Jeffrey Tollison Address:9047 SHORT CHIP CIRCLE Company: All American Shutters & Glass City: PORT ST. LUCIE State: FL Zip Code. 34986 Fax: Phone No.770-548-8631 Address.1638 Donna Road City. Vest Palm Beach State:FL Zip Code: 33409 Fax: Phone No 561-712-9882 E-Mail: CARUS07242*BELLSOUTH.NET Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailpermits@aHamericanshutters.com State or County License CGC 1512423 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. 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. certify that no work or instaliation 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 covenantsthat may restrict or prohibit such structure. Please consult with your Horne 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 .ROB 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/ Le ee/Contractor as Agent for Owner Signature o Con a Licen Holder STATE OF FLORIDA �1I COUNTY OF - LKO C_ [ :0 Gin - STATE OF FLORIDA COUNTY OFF . C 0,0A LLJt_ The forgoing instrument was acknowledged before me this I,; day of 0 .0 ^, 20�2b by The forgoing instrument w s acknowledged before me this j 5 day of Q.:tb20d15 by c�r 0 Pf r u.-Ln ���W —Tibl l i --v-)n Name of person making statement. _ Name of person rtlaking statement. Personally Known —OR Produced Identif cation _ �r Personally Known OR Produced Identification Type of Identification Type of Identification Produced_ die Produced_ � V 4AACA M ignature of N tart' Ru li Stat o Florida) (Signature f Notary Public Sate ofOrida ) Commission No. I+fl i QA (Seal) Commission No ©GgrR (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPL Rev. RYPL Sasha onza RYPV Sasha Ganza ez Comm ss on # Hk 10592 Cpmn�isSion # HH 1002 Commission Expires 06-15-2024 x°�P ���� Cumn fission Expires 06-15-2024 Bonded Througt+ - Cynanotary Nv`�� 8onr'.ed Through - Cynanotary 0 �o Flnoda 1 oir ty Public • r a - Notary Public