HomeMy WebLinkAboutBuilding permit appULo7�Daloao
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
[�COCA
p�7R' 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:
PROPOSED IMPRC
Address: 2606 Arnold Ct
Property Tax ID N: 1432-807-0096-000.6
Site Plan Name:
Project Name: Johnson
DETAILED DESCRIPTION .
INSTALL ACCORDION SHUTTERS - 13
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 338
Block No.
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: $ 5237 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Colley & Sally Johnson
Name: Edward J Heritage
Address: 2606 Arnold Ct
Company: Folding Shriner Corporation
City: Fort Pierce State: _
Zip Code: 34946 Fax: nia
Phone No. 772-971-9769
Address: 1862 or Martin Luther King Blvd
City: West Palm Beach State: FI
Zip Code: 33404 Fax: 561640-8204
Phone No 561683-4811
E-Mail: pat2606Qaomoast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@foldingshuham.com
State or County License SCC131151041
H 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:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
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 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 Nrst inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of O Lessee C
ctor as Agent for Owner
Signature Oficense
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF,,AcuaE.scH
COUNTY OF RAUJ H
S ro (or affirmed) and subscribed before me of
—Physical Presence or Online Notarization
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this -20 day of S. l
202e" by
this e o day of rOl yT_. 20W by
EDWARD J HERITAGE
EGWNtD J HERITAGE
Name of person making statement.
Name of person making statement.
ng
Personally Known ✓ OR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
P
Pro ed
t
ai�C., l! .Cry►�
(Signature of Notary Public- State oiAMad. Evans
(Signature of Notary Public-A".Wgo I
Commission No.
SOpYY �IIOCIC FLCRI�
Commission No. NOTAR11E OF FBLI� .I
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SUPERVISOR
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VEGETATION
SEATURTLE
MANGROVE
COUNTER
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