HomeMy WebLinkAboutBuilding Permit 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 6301 Oleander Ave
Property Tax ID #: 3409-804-0002-000-6
Site Plan Name:
Project Name: Schafer
DETAILED DESCRIPTION OF WORK:
.-7 ju if 1l ! j q R CGo K D = Dos S
�9 1'PX?Ae—r CQJoA.►0�, 5 �viTz-ot5-
Lot No. 2
Block No.
� • • � � - i'k 'k"'s �.. � ' ?': k t '� r. � i ;""g" r'.ee" r C� r `r'
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 9 7G S
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George_§,er 5 crZ_
Name: Edward J Heritage
Address: 6301 Oleander Ave
Company: Folding Shutter Corporation
City: Fort Pierce State: _
Zip Code: 34982 Fax: n/a
Phone No. 954-461-3251
Address: 1862 Dr Martin Luther King Blvd
City: West Palm Beach State: FI
Zip Code: 33404 Fax: 561-640-8204
Phone No 561-683-4811
E-Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@foldingshutters.com
State or County License SCC131151041
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: Not Applicable
11P MORTGAGE COMPANY: —
DESIGNER/ENGINEER
Name:
Address:
City: Phone_
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Ap
State:
Not Applicable
Name:
Address:
City:
� Phone:
Zip,
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
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 Home Owners Association rules, bylaws or and covenants that may restrict orprhibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which mayapply.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
-, o,^n.v.,r vn"D n NnTIrF F rnMMENCEMENT."
WITH YOUR LENDER UK Ard AI •UKnCI 0CfURL n�a.v..v•-.�
-- - --
Signature of Co ctor older
Signature of Owner/ see ctor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PALM BEACH
The forgoing instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
3aday emu- 20';Z�by
this day of '�T 20 2Cby
this of
EDWARD J HERITAGE
EDWARD J HERITAGE
Name of person making statement.
Name of person making statement.
Personally Known xxx OR Produced Identification
Personally Known xxx OR Produced Identification
Type of Identification
Type of Identification
Produ d
Produced
(Signature of Notary Public- Stan f Ior%trt)ela A. Evans
(Signature of Nota S
NOTARY PUBLIC
Y
Commission No. i)E OF FLORIDA
Commission No. o —STATE OF FL Epp
Comm# GG262789
GG262 891'
0
•
it 1 11/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19