HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO BE COMPLETED FOR APPLICATION TO BE ACCEPTED
(MUST
Date: 3 113- "1 Permit Number:
# 77
1 rlt�r"4� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SHUTTERS
PROPOSED IMPROVEMENT LOCATION
Address: 6783 PICANTE CIRCLE
Property Tax ID #: 1306-500-0234-000-6 Lot No.4
Site Plan Name: SPANISH LAKES FAIRWAYS Block No. 53
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL TWO ACCORDION SHUTTERS ON THE BACK SLIDING GLASS DOORS.
New Electrical Meter Second Electrical Meter
-. _
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- chL all that apply:
_Mechanical _ Gas Tank _ Gas Piping �_ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2275.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.
Name EDWARD GEIS
Name:VAUGHN HOSKINS
Address: 6783 PICANTE CIRCLE
Company: V H EXTERIORS INC
City: FT. PIERCE State:
Address:543 NW WAVERLY CIRCLE
Zip Code: 34951 Fax:
City: PORT ST. LUCIE State: FL.
Phone No.772-359-0199
Zip Code: 34983 Fax: 772-871-2567
E-Mail:
Phone N0772-871-6484
Fill in fee simple Title Holder on next page ( if different
E-Mailvhexteriorsinc@gmail.com
State or County License21579
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
N
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N a me: TOWN & COUNTRY IND
Name:
Address:400 WEST MCNAB RD,
Address:
City: FT. LAUDERDALE State: FL.
City: State:
Zip: 33309 Phone954-970-9999
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.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If,ou intend to obtain financing, consult
w' h le er o attorney before commencing work or recording o tice of Commencement.
Signature of Owner/ Le a/Contra r a gent for Owner
Signature of Co tracto L ense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed beforentg
Sworn to (or affirmed) and subscribed before a pf $
Physical Presence or Online Nota
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Physical Presence or Online Notar ,gn
this day of Wc 4�, 904 b
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Name o person making statement. N� $
Name of person making statement.
Personally Known OR Produced Ident '
Personally Known OR Produced Ident '
Type of Identification a
Type of Identification i
Produced
Produced
(Signature of Notary Public- State of Florida ► w ,;.�`
(Signature of Notary Public- State of Florida )
Commission No. �^�` w
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Commission No. (Seal)
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