HomeMy WebLinkAboutBuilding Permit Application t`� oFaNaaal boa
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 4:�:')
RECEIVED
Q
O C T 21 2020
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 CBDG Funding
PERMIT APPLICATION FOR:
.PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N Highway A1A - Unit 1006
Property Tax ID#: 1425-600-0092-000-1 Lot No.
Site Plan Name: Block No.
Project Name: MCEachern
DETAILED DESCRIPTION OF WORK:'.
'Install 3 accordion shutters
New Electrical Meter Second Electrical Meter. (Affidavit required)
CONSTRUCTION INFORMATION:,
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6849 Utilities: —Sewer Septic Building Height:
-OWNER/LESSEE: CQNTRACTOR:.}
Barbara McEachern 1=a` dward J Heritage
Name _ Name: 9
Address:
36 Strasser Ave Cgmipany .oltling Shutter Corporation
A'". 'dcJress ` ''r`I`862 Dr Martin Luther Kin city: Westwood State:`M g Blvd
Zip Code: 02090 Fax: n/a City: West Palm Beach State: FL
Phone No. 7817326-6581 E- Zip Code: 33404 Fax: 561-640-8204
Mail: n/a 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.
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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners 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 O Lessee ctor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swore to(or affirmedgandubscribed before me of X Physical Presence or Online Notarization
this b day of C1 209/by
Edward J Heritage
Name of person making statement.
Personally Known XXX OR Produced Identification
Ty o dentification Produced
rCQR
(Signature of Notary Public-State of Florida) Pamela A.Evans
Commission No. (Seal) NOTARY PUBLICSTATE OF FLORIDA
Comm#GG262789
Expires 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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