HomeMy WebLinkAboutPermit Application - 2566 NW Seagrass Dr 1A - Patricia JohnsonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (ID — (
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial 1 Residential
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2566 NW Seagrass Dr 1A, Palm City, FL 34990
Property Tax ID #:4425-601-0033-000-2
Site Plan Name: SHUTTERS
Project Name: Patricia Johnson
Lot No.
Block No
DETAILED DESCRIPTION OF WORK:
Installation of Hurricane Protection
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
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: 257
Cost of Construction: $ 5,829.01
Windows/Doors
Generator Roof
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
Pond
Pitch
OWNER/LESSEE:CONTRACTOR:
Name Patricia Johnson
Address: 2566 NW Seagrass Dr 1A
City: Palm City
Zip Code: 34990 Fax:
Phone No.772-631-7880
State: FL
E-Mail:johnsonpw@aacom
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
N a me:Robert Altino
Company: Galeforce Hurricane Shutters, inc.
Address:1429 SE Villiage Green Drive
City: Port St. Lucie
Zip Code: 34952
Phone No 772-337-6200
Fax:
State Ft
E -Mail galeforcetc@gmail.com
State or County License CBC1251430
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:Address:
City: State:City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 you intend to obtain financing, consult
with lender or an atttaris e e commencing work or recording our Notice of • — — - cement.
/--------.....-..- .
Signature of Owner/ Lessee Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
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Sig2•00. - I( Contractor/License Holder
STATE OF FLORIDA
COUNTY OF SAINT Lttc ie.--
Sworn to (or affirmed) and subscribed before me of
_NZ_ Physical Presence or Online Notarization___
this 114 day of .71U. WI- ,24424. by
Sworn to (or affirmed) and subscribed before me of
I Physical Presence or Online Notarization___
this A:1"day of TLX e , i£H2ibby
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Name of person making statement.
Personally Known ‘7 OR Produced Identification__
Type of Identification
Produced
Name of person making statement.
Personally Known / _ OR Produced Identification
Type of Identification
Produced
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COM Missi . ir, STATE OF FLORIDA (Seal)
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E 1S1 Expires 9/12/2023
"" liumr* Comm# GG367483
EIS Expires W12/2023
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
-tev. 5/6/20