HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI 1 V ✓ — U . — —
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O ,
Building Permit Application
Planning and Development Services
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:
n AA,- - 8686 Andrews Ave
Property Tax ID #: 2323-501-0035-000-0
Site Plan Name:
Project Name: Thames
DETAILED DESCRIPTION OF WORK:
Install one motorized rolling shutter nd
z e- kc +0( qQ I t c�rzw "�:kC c
Impact Bahama shutte
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Lot No. 14
Block No.
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: $ 11 877 Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Travis Thames
Name: Edward J Heritage
Address: 8686 Andrews Ave
Company: Folding Shutter Corporation
City: Fort Pierce state: FI
Zip Code: 34945 Fax: n/a
Phone No. 772-882-5014 E-
Address: 1862 Dr Martin Luther King Blvd
City: \Nest Palm Reach State: FI
Zip Code: 33404 Fax: 561-640-8204
Phone No 561-6,93-481 1
Mail: n/a
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info(p7foldingshutters. com
State or County License SCC131151041
If value of construction is Z500 or more, a KtLUKUtU NOTICe Of \,OrnnlenitlnlenL 1� I cyan cu.
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 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 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 Owner/ see/Coi or as Agent for Owner
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online
Notarization
this ;?2 day of IJo✓ , 20_21 by
Edward J Heritage
Name of person making statement.
Personal) Known XX OR Produced Identification
Ty of I ntification Produced
(Signature of Notary Public- State of Florida)
Pamela A. Evans
Commission No. (Seal) NOTARY PUBLIC
STATE OF FLORIDAmrrr
vr'
Co# GG262789
Expires 10/1112022
REVIEWS
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DATE
RECEIVED
DATE
COMPLETED
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4956634 OR BOOK 4726 PAGE 35, Recorded 11/23/2021 04:18:03 PM
Prepared by and Return to:
Folding Shutter Corporation
1862 Dr Martin Luther King Jr Blvd
West Palm Beach, FL 33404
11052021002
Permit No.
State of Florida, County of St. Lucie
NOTICE OF CONIAMNCENIENT
Property Tax ID No. 2323-501-0035-000-0
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available Model Land Co's S/D 23 35 39 Lot 13 _
8686 Andrews Ave - Fort Pierce
General description of improvements Install hurricane shutters
owner/lessee Travis Thames
Address 8686 Andrews Ave - Fort Pierce FI 34945
Interest in property: owner
Fee Simple Title holder (if other than owner)
Address
Contractor Folding Shutter Corporation
Phone # 561-683-4811
Address 1862 Dr Martin Luther King Jr Blvd, West Palm Beach, FL 33404
Fax # 561-640-8204
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone #
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name
Phone#
Address
Fax #
In addition to himself, owner designates
of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCWG WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Owner/Lessee, or Owner's or Lessee's Authorized
Signatory's Title/Ot7ke
State of Florida, County of f 6.0, G �
Acknowledged before me this 42LI _, day of 20 2/ , by
who is personally known o we or who has produced /}� /v�i /� �/t� as identification.
Sig Lure of Notary Type or [Print Name of Notary (Seal)
Title: Notary Public Commission Number �7 I Z 61
;.�;;�J�'�• ARTHUR W. LAFLAMME
- _ Notary Public -State of Florida • Y
a= Commission M HH 149281
My Commission Expires
July 5, 2025