HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � k
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° 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:
Address: 3100 N Highway Al - Unit 1005
Property Tax ID #: 1425-606-0051-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Norton
DETAILED DESCRIPTION OF WORK:
a
INSTALL ACCORDION SHUTTER(S) - L
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 XShutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9960 Utilities: —Sewer Septic Building Height:
OWNERAESSEE: =F
CONTRACTOR:
Name Wayne & Margaret Norton
Edward J Heritage
Address: 3100 N Hwy A1A - Unit 1105
Company Folding Shutter Corporation
city: Hutchinson Island state: FL'' `
Address: 1862 Dr Martin Luther King Blvd
Zip Code: 34949 Fax: n/a
city: West Palm Beach state: FL
Phone No. 802-343-4343 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 SC 41
If value of construction is 2500 or more, a RECORDED Notice of Commenceme required. (L UVJ t
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement ' required. cG c '1 ? C%J1 ^
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAT
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 attornev before commencing work or recordine vour Notice of Commencement.
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Signature of O er ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) nd subscribed before me of _XX_ Physical Presence or Online Notarization
this 2 day of rib , 2022 by
EDWARD J HERITAGE
Name of person making statement.
Perso Known XXX OR Produced Identification
Ty of entification Produced
(Signature of Notary Public- State of Florida) Pamela A. Evans
NOTARY PUBLIC
11R
Commission No. (Seal) STATE OF FLORIDA
Comm# GG2627891
Expires 10/11/2022
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