HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 'j
Date: 9.1120�� Permit Number: �1
r��O n 8{,1,U01® n9 tY
!�T
aO��"�t3""� -D 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 A1A - Unit 705
Property Tax ID #: 1425-606-0027-000-3 `ot No.
Site Plan Name: �� Block No..
Project Name: Carson
DETAILED DESCRIPTION OF WORK
INGTAI I Ar..rC)RI)I0hI .qHI ITTFR(.ql _
New Electrical Meter
Second Electrical Meter.
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 11,580 Utilities: _ Sewer . — Septic Building Height: .
Pond
Pitch
OWNERAESSEE: _ .
CONTRACTOR:
Name Patricia Carson
,Name: :. Edward J Heritage
Address: 1 Luther Rd „ -, :
j;Company: Folding Shutter Corporation
City: Saratoga Springs :State.,NY , c.
Add" 1862 Dr Martin Luther King Blvd
Zip Code: 12866 Fax: n/a
City: West Palm Beach State: FI
Phone No. 917-297-5954 E-
Zip Code: 33404 Fax: 561-640-8204
Mail: n/a
Phone No 561-683-4811 1-7a gaOI-
E-Mail infoO-foldingshutters.com
Fill in fee simple Title Holder on next page (if different
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:
Name: _
Address:
City: _
Zip:
EER: _ Not Applicable
Ph
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:�
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City: _
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 Owne essee ractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF PALM BEACH
Sworn to (or affirmed) nd subscribed before me of X Physical Presence or Online Notarization
this 41 day of 20'4Z by
EDWARD J HERITAGE
Name of person making statement.
Personal nown X OR Produced Identification
Ty f Id tification Produced
(Signature of Notary Public- State of Florida)
Pamela A. Evans
Y
Commission No. (Seal) NOTARYPUBLICSTATE
OF FLORIDA
ip
Comm# GG262789
I 'te Expires 10/11 /2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21