HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
2Ad J3
RECEIVED
SEP 16 2021
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:
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PROPOSED.IMPROVEMENT LOCATION:
Address: 10600 S Ocean Dr-Unit 1002
Property Tax ID#: 4511-517-0099-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Vanderpool Residence
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DETAILED. DESCRIPTION OF WORK:
INSTALL ACCORDION SHUTTERS — J
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New Electrical Meter Second Electrical Meter
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CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping ✓Shutters _Windo s/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 6626 Utilities: —Sewer —Septic B'i ilding Height:
OWNER/LESSEE:, CONTRACTOiR �` `,i;
Name-JOHN&JULIE VANDERPOOL Name:EDWARD"J HERITAGE ,I
Address:10600 S OCEAN DR;-:UNIT 1002+_, Company:FOLDING.;S.HUTTE,IR,CORPOF:ATION
City: JENSEN BEACH:" - State:_ Address:1862'DR MARTIN'LUTHER KING BLVD
Zip Code: 34957 Fax:- City: WEST`PYALM`BEACh I State:FL
Phone No.630-890-4332 Zip Code: 33404 Fax: 561-640-8204
E-Mail:JULESLVANDER@GMAIL.COM Phone No 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail INFO@F,OLDINGSHUTTERS.COM
from the Owner listed above) State or County License SCC1I 31151041
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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.
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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 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/L ee ctor as Agent for Owner Ignature of Con icense Ho r
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 OL day of AFT 2026'by this- 4L day of SEA' 2020 by
2.! zf
EDWARD J HERITAGE EDWARD J HERITAGE
Name of person making statement. Name of person making statement.
Personally Known xxxxx OR Produced Identification Personally Known xxxxx OR Produced Identification
Type of Identification Typ ntification
P uc /� P oduce
(Signature of Notary Public-. teofFFAINW4.Evans (Signature&NPL*�A%&iQEMJQoridaNOTARY PUBLIC TARY PUBLICCommission No. STAi �FLORIDA Commissio, FLORIDASeal)
Camp GG262789 mrn#GG262789
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW .
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