HomeMy WebLinkAboutPERMIT APPLICATIONAll 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 Commercial Residential
PERMIT TYPE:RESIDENTIAL SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 3266 Lakeshore DR, Fort Pierce, FL 34949
Property Tax ID #: 1425-676-0010-000-8
Site Plan Name:
Project Name: Sandra Elizabeth Knepp
DETAILED DESCRIPTION OF WORK:
INSTALL (4) IMAPCT BAHAMAS SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping ZShutters
— Electric —Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4814
Utilities: —Sewer _Septic
Lot No._
Block No.
_ Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Sandra Elizabeth Knepp
Add ress:3266 Lakeshore DR
Name: Jeffrey Tollison
Company: All American Shutters & Glass
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone N0.3214193671
Add ress:1638 Donna Road
City: Vest Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No 561-712-9882
E-MaiIpermits@allamericanshutters.com
E-Mail: KNEPPLADYRIDER@AOL.COM
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
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:
Add ress:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Nat 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 Horne 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 CountyAmendments.
The following building permit applications are exemptfrorn 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 O er essee ontractor as Agent for Owner
Signature of Co ractor/License Holder
STATE OF FLORIDA (}
COUNTY OF t-
STATE OF FLORIDA
COUNTY OF
The forgoing Instrument wa acknowledged before me
this_, dayof5T t'_,ZO 7 by
The for�,ping instrument was acknowledged before me
this_i �dayof�L�c Y3�� ��,20 L)by
. �
Name of p ` son king statement.
� 0 0 )
Name of pOs n ma4 ing statement.
Personally Known _ OR Produced Identification
Personally Known �_ OR Produced Identification
Type of Identification
Type of Identif cation
Produced`^
Produced_Y_^��___
1
�
5
(Sign tore of Notary Publi t tJ Flor' I as
_wary Public ate of FlDft
Commission No. a Nsgmm. Expires 06 15 20
�r 4 Commission No. HH 1D59
B OF F1 o
(Signa re-70mv FiEfairy Public - St to FA i
ar
tommisslon No. { (Se,"tary Pubic, StateofR
— NT Q My Comm, Expires 06
yr �O
D
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
ida
024