HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE(INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: 1` 1 7 -.1/ Permit Number: c / c l- o j- i
21To 1=0IE RECEIVED
` ,r': JUL 0 7 2021
Isr o aQ=; ° �`J"' Building Permit Application
St,Lucie County
Planning and Development Services Permitting/
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:Shutters
PROPOSED IMPROVEMENT LOCATION:,
Address: 6654 Alheli Ct
Property Tax ID#: 1306-500-0048-000-5 Lot No. 10
Site Plan Name: Rapillo/Cunningham Block No. 39
Project Name: Rapillo
DETAILED DESCRIPTION OF WORK:
Install shutters
New Electrical Meter Second Electrical Meter
..CONSTRUCTIONA NFORMATION:
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: 432 Sq. Ft. of First Floor:
Cost of Construction:$ 1,0303 Utilities: —Sewer _Septic Building Height:
OWNER/LE-SSEE ,CONTRACTOR'. , '
Name Anthony Rapillo Name:Larry Getgen
Address:6654 Alheli Company:AMS Inc.
City: Fort Pierce, FI State:_ Address:941 SW 8 St
Zip Code: 34951 Fax: City: Pompano Beach State:FI
Phone No.917-747-2067 Zip Code: 33069 Fax: 954-782-0995
E-Mail:missymare257@gmail.com Phone No 800-226-6677
Fill in fee simple Title Holder on next page(if different E-Mail maryannp@amsoffla.com
from the Owner listed above) State or County License CGC1529550
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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name:JAMES BUSHOUSE Name:
Address:3300NE10TERR#24 Address:
City: POMPANOBEACH State: FL City: State:
Zip: 33064 Phone 954-956-2203 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 you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor.as Agent for Owner Signature of Contractor/LI ns glder
STATE OF FLORIDA STATE OF FLORID, CdG(
�
COUNTY OF 5-F LLc.L'(E COUNTY C 1J foto
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph sical Presence or Online Notarization Physical Presence or Online Notarization
this day of J u'�"'e� , 2020 by this�day of ��, 2029 by
1 ►14Q IZ ( C C V LARRY W.GETGEN
Name of person ifiaking statement. Name of person making statement:
Personally Known / OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
ro uc d P uced
� J
(Signature of No ' r (Signature of r Pu I'c-S a e of F i s
o.�+�'�� Notary Public State of Florida
? Maryann P�e .yY ock Notary Public State of Flori
Commission No. Commis ��322569 Commissi 9 e Na`
jl,dq Expires 05105/2023 ' a My Commission GG 322569
ay ao ' Expires 05/06/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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