HomeMy WebLinkAboutPyatt, Accordian Shutter Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLI1CATION TO BE ACCEPTED
Date: Permit Number:
s'
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: A CC 0 yaYl 9no}+ZrE
PR P SED.-1 PROVEME QCRTlflN: _ -:
_ - --
- Address. S Y-nn xA C _ go Ct S- . _ V. i✓ \ e . rt 2
Property Tax ID #: g!i^ 5 i c ' o , U 5 Qoo - i Lot No. 2. o
Site Plan Name: Block No.1�
Project Name: r
DETAILED DESCRIPTION QF WORK:
` D
VOl�#STRY(MON INEDRi11fATli7N:
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: Sq. Ft. of First Floor:
Cost of Construction: $ �Utilities: —Sewer —Septic Building Height:
()WNER/LESSEE:
ANTI AETDR:
Name Name: Gary Whigham
Address: 41-:- W' 11tyiS 0.V(f"11\)_L _ Company: South Florida Aluminum Products
City: iA- C. e Stater Address:4807 S US HIGHWAY 1
Zip Code: 34-C S 2 Fax: ) a In - 1 D74 City: Fort Pierce State: FL
Phone No. -7 a [v - Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License
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: x Not Applicable
Name: 190fi Q_&MIf] gi
Name:
Address: ,;5 of 42a riAO r- Zt _ SM 7-4-D
Address:
City:_ 7ctirn P Stater
City: State:
Zip: 3&o05 Phone Srf 3 — ?,-] 1y— •7yo?
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x 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.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I ND_T{} .OBTAIN FINANCING, CONSULT
WITH YOUR.LEFUDER OR AN ATTORNEY BEFORE RECORDING YOUR -NOT E>dF COMMENCEMENT."
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iI
SiI gnature ner Lessee/Contractor as Agent for Owner
5igkt [e of -Co icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST LUCIE
The for ping instrument was acknowledged before me
this "fay of �r-P�iDYI.LGI.r f , 201L% by
The forgoing instr ent was acknowledged before me
this ���ay of �1 _X 2D? I by
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known JAG OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
J
(Signature of N
(Signature of
�'Olt 'tge Notary Public Stale of Florida
Commission No. Emily N Hicks(Seal]
T my mPSSIG l HH 037541
oiF Expires 08/3012024
�p'�� Notary PuifIIC $Felt 01 Ffo,Itla
Commission N Emily N Hicks �5ealyy
RFIFs><pn H1i 03_154+1
%nr ti Expuait 0&3012024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
y
DATE
COMPLETED
Ev. 211119-