HomeMy WebLinkAboutPermit Application_00000ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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 APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6232 Alexandria Cir.
Legal Description: PALM GROVE S/D BLK J LOT 27 (0.18 AC) (OR 1603-669)
Property Tax ID #: 3410-503-0279-000-8 Lot No. 27
Site Plan Name: Block No. J
Project Name: Darlyn Romagnolo
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
e uu�Pe... L-C1
❑HVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ �� D
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
S(�I —F—t.� of First Floor: _
Utilities: -Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Darlyn Roma nolo
Name: Robert McNally
Address: 6232 ALEXANDRIA CIR
_
Company: Palm Coast Shutters & Aluminum Products, Inc.
City: Fort Pierce State: FL
Zip Code: 34982 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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Giovanna�palmcoastshutters comcom
State or County License: CBC1262166
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: WA
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmmenrine work or recording vour Notice of Commencement.
signature oT Owner/ Lessee/Contractor as Agent for Owner'Signature
of Contracto Li rise Ider
STATE OF FLORIDA
STATE OF FLOI
COUNTY OF Indian River County
COUNTY OF INDIAN RIVER OUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this pl[day of IUAA i.. e .2021 by
this Ojddayof� 20 21 by
D%ariyn Romagnolo
ROBERT MC NALLY
Name of person making statement
Name of person making statement
Personally Known_ OR Produced Identification
Personally Known x OR Produced Identification
Type of Identific ion
Type of Identification
Produced
Produced
Zigreof
(Signature cf N ry Public -State of Florida )
Not. Public- State of Florida )
Commission No.
Comm si )
AUSTIN CHARLES MCNALLY
d Florirle
Miovanna Drausal
;p• :: MY COMMISSION # GG 24723fi
Y Commnaion GG 2a7ap6
EXP
REVIE S'F�?,x°�F n"
PERVISOR
PLANS
VEG A
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Ira,
PALM COAST
SHUTTERS 6 ALUMINUM 1R..11T1
Customer —
Romagnolo, Darlyn
Contact Information —
Alam. 718-902-5843
darlynromagnolo@aol.com
Quote: Romagnolo, Darlyn
na,e Sep 15, 2020
rand umic Oct 15, 2020
Sales Rep: Joseph Echeandia
Joepcshutters@gmail.com
772-299-1955
Job Site Address
6232 Alexandria Cir
Fort Pierce, FL 34982
# I Opening Description
I Product I Color I
Opening Size I Shutter Size
o,H
I price
1. F n li•im! ':
Accordion Shutter
74 x 90 85 x 95
$ 1,063.41
Ra., elos r,nm
Florid HNg Old•&1/11lZ,q,1--dprnd,.i
Sminleas.Sled h—A,—thmughonl •i.1.ded`
12• 6-1 Lucking Rod, in place of pedcru (Ahrminnm pill
n W11un se, .¢ran/ "4cul nn, j ce_e or lock np"
2. Fronr door Egress
Not Covered
x z
$
Product Total
$ 1,063.41
L-d,iorc is,ymerimnk•h 19-2.+N'1_F.KS
S //.00
PERMIT FEE & L4BOR
S 185.00
Sales Tax
$ 74.44
D
Project Total
$ 1,322.85
n
�'�'�dN�
9•-35- ZO
Customer Signature
DATE
***ALL PAYMENTS MADE BY CREDIT CARD WILL HAVE AN ADDITIONAL CONVENIENCE/SERVICE FEE OF 2.5%***
Palm Coast Shutters & Aluminum Products, Inc.
*CERTIFIED BUILDING CONTRACTOR: LICENSE # CBC1262166
*NAMI Certified* (National Accreditation & Management Institute) Quarterly Quality Assurance Program Participant
*American Shutter Systems Association Member (A.S.S.A) certified*
SHOP ADDRESS & MAILING: 675 4TH STREET VERO BEACH FL, 32962
Phone (772)299-1955 * Fax (772) 299-1958
***510t DEPOSIT UPON ORDER & 50% BALANCE UPON COMPLETION***
*•*100a/ PAYMENT FOR SELF INSTALL JOBS prior to fabrication***
(**For Self Installed jobs*** The final measurements provided to us and indicated on this proposal in "finished shutter size"are the
sole responsibility of the home owner/customer per this contract). Any and all errors to final measurements involving the re
fabrication of any product fabricated for self installation will be an additional fee to this contract. THIS ONLY APPLIES TO SELF
INSTALLED projects.
****BE SURE TO VERIFY COLOR SELECTION****
It is the home owners responsibility to adhere to their HOA requirements regarding color selections and style of shutter. For
Accordion shutters and Roll shutters: Once material is ordered, the color selected on the proposal is final.
LEAD TIMES GIVEN ARE AN ESTIMATE AND MAY BE EXTENDED.
Any alteration, deviation from the above specifications involving extra costs, will be performed upon written orders only. This work
will then become an extra charge over and above the estimate. All Agreements are contingent upon strikes, accidents, or delays
beyond our control. This proposal is subject to acceptance within 30 days. Engineering for our product is proprietary, trademarks
cannot be used or distributed without our direct written consent It is the customers responsibility to properly maintain shutter systems
Palm Coast Shutters and Aluminum Products * 675 4th Street * Vero Beach, FL 32962 * Ph. 772-299-1955 * Fax. 772-299-1958 1 of 2
—.pcshuttenusa.com * peshuttem@gmail.com