HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 '�((��
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Hurricane Shutters
PROPOSED' MPROVEM.ENT LOCATION.:3.100 N Highway A1A Unit 1001, Fort,Pierce," FL
Address: 3100 N Highway A1A Unit 1001, Fort Pierce, FL 34949
Property Tax ID#. 1425-606-0041-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Dale Justice
DETAILED DESCRIPTION-OF-WORK:-
_ Z: 06-riq1! 1 A,Cc,0r:Z. i o W S
li New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check 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:$ Ck�D Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE CONTRACTOR: .
Name'Dale& Marilyn Justice Name:Edward.J:Heritage
Address 3100,N Highway.A1A#1001 Compan olding`Shutter Corporation
city.,Fort-Fierce State:_ Address:1862_Dr,Martin:L:'utherKing Jr Blvd
Zip'Code 34949- ``'Fax:N/A city: %6Sk,Palm-.Beach'" State:FL
Phone No.772-633-9219 Zip Code: 33404 Fax: 561-640-8204
E-Mail:N/A Phone N o 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mailinfo@foldingshutters.com
from the Owner listed above) State or County License SCC131151041
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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.
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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 you intend to obtain,financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner see ctor as Agent for Owner Signature of o o ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this ll day of Mt'1 ,2026'by this it day of 0'► 2020 by
Edward J.Heritage Edward J.Heritage
Name of person making statement. Name of person making statement.
I
Personally Known x OR Produced Identification Personally Known x OR.Prpduced Identification
Type of Identification Type of Identification
Prru�ce Pr uce �
Evans
(Signature of Notary Pub' of- PUBLIC (Signature of Notary Publi)01
' yPUBLIC
Commission_No. _STA ,, FLORIDA �TFLORIDA
Corti 12W89 Commission No. a 202789
t Tres 10111/2022 Expires 10/1112022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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