HomeMy WebLinkAboutBuilding Permit Application D�oy aoalC�o`�
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��a���'� Permit Number:
RECEIVED
W0601 a °;° Building pp Permit Application SEP 2 7 2021
Planning and Development Services z?t,mvir)Qnunty
Building and Code Regulation Division Commercial ReSideritibltml"`ng
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: ' _• + t,s
PROPOSED IMPROVEMENT LOCATION: • �, x. � -
Address: 7420 S Ocean Dr-Unit 311
Property Tax ID#: 3522-604-0012-000-3 Lot No.
Site Plan Name: ! Block No.
Project Name: Petisco
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DETAILED-DESCRIPTION OF WORK:.
INSTALL 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 utters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12,500 Utilities: —Sewer Septic Building Height:
O.WNERAESSEE: CONTRACTOR
Name Anthony&Lourdes Petisco Name:Edward J'Heritage
Foldi9 SFiufteraCotr,oration
Address:6311 SW 34th St.;-, . • :? . - Company: .• g . IP
City: Miami State:_ Address:1862 D,r Martin,Luthedr King Blvd
Zip Code: 33155 Fax:mla City:• Wesf�Palm Beacliq.
State:FI
Phone No.305-342-6996 Zip Code: 33404 Fax: 561-640-8204
E-Mail:apetisco@me.com Phone No 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail info@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.
I
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 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 `ermit to do the PP Y P 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 ssee actor as Agent for Owner Signature of Con tr Lic der
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
xxx Physical Presence or Online Notarization xxx Physical Presence or Online Notarization
this R3 day of ��Pr— 2020-by this W day,of ba?r— 20W by
at
EDWARD J HERITAGE EDWARD J HERITAGE
Name of person making statement. Name of person making statement.
Personally Known xxxx OR Produced Identification Personally Known xxxx OR Produced Identification
Type of Identification Type of Identification
Pr uc d Pro ce
(Signature of Notary Public-State ob )Evans (Signature of Not ubligp g,@f Wa)
Commission No. a� NOT eYaP1 BLIC NOTARY PUBLIC
STA ro LORIDA Commission N OF FLOAW0
Comm#GG262789 Comrn#GGM2789
Expires
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