HomeMy WebLinkAboutBUILDING PERMIT APPLICATION rr--_
Ail APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 5700 EAGLE DR FORT PIERCE, FL 34951
Property Tax ID#: 1312-500-0085-000-5 Lot No.84
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 4 ACCORDION SHUTTERS
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 '4,Shutters _Windows/Doors _ Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3,828.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MARGARET PFALZGRAF Name:THOMAS L PEASE
Address:5700 EAGLE DR Company:FLORIDA SHUTTERS INC
City: FORT PIERCE Stater Address:1055 COMMERCE AVE
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No.772-595-7192 Zip Code: 32960 Fax: 567-3674
E-Mail:pfalzgraf7@gmail.com Phone No772-569-2200
Fill in fee simple Title Holder on next page ( if different E-Maildaniela@floridashuttersinc.com
from the Owner listed above) State or County License CBC 015453
Lavalue of construction is 2500 or more,a RECORDED Notice of Commencement is required.
ue of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature f Owner/Lessee ontr r as ent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA" J, �^
COUNTY OF_ /_(1 COUNTY OF
Swor ,to(or affirmed)and subscribed before me of Sworn t�(or affirmed)and subscribed before me of
V Physical Pre ence or Online Notarization '-Physical Presence or Online Notarization
this J�L day of rI 28 "y this +alIday of 2020 by
a', —
Name of pe n making statement. Name of person making statement.
Personally Known OR Produced Identification �.� Personally Known OR Produced Identification
Type of Identification - Type of Identification
Produced L- 1 Produced
q��_ 1VI,%A�, ��hc� r
(Signature of Notary P l; a,.e o Ifd A EMERICK (Signature of N -
01
i <, Notary Public•State of Florida :r• r n Notary Public-State of Florida
Commission No. ;+ CommifflnOGG 952084 Commission No. _. ` Commission it GG�
My Comm.Expires Mar 20,2024 or r, y om .Expires Mdr 20, 24
Bonded through National Notary Assn. Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Margaret Pfalzgraf falzgraf7@gmail.cem
Hi Peggy,
If you have any questions please e-mail me or give me a call.
Thank you,
John
Factory 3 Shuwroarn
FLORIDA IDA SFULITTEIRS IOSS Commerca Avenue.Vero Beach,FL 32969
- — 511,1011! 1979 Telephone 1712)569.2200-Toll Froe 1-800,141.2202
FAX(772�56743674
Safes Assoc.John Morris
Contact Number,[1721_399-7192. Data:March 27„2021 ;:r,atl,:, t�¢acsil' lrnall_;fs1
Name:Peggy Pfalztsraf .-..__. T.__.__.----- ,fob:
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