HomeMy WebLinkAboutBuilding Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr��
Date: Permit Number: ®J'001_)n
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Building Permit Application
Planning and Development Services o 3 2022
Building and Code Regulation Division Commercial ResidentiaW
2300 Virginia Avenue,Fort Pierce FL 34982 St.
LuC18n9
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding Perm
PERMIT APPLICATION FOR: Hurricane Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 N Highway A1A- Unit PHB04
Property Tax ID#: 1425-606-0074-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Haeg
DETAILED DESCRIPTION OF WORK:'
Install accordion shutter(s) - R
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:$ 6446 Utilities: —Sewer- L Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard Haeg "N:ame:'Edward J Heritage
Address: 3100 N Highway A1A PHB04 Company:' Folding Shutter Corporation
City: Fort Pierce State: FI Address: 1862 Dr Martin Luther King Blvd
Zip Code: 34949 Fax: n/a City: West Palm Beach State: FI
Phone No. 631-902-3702 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 infoCa�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 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 yob intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ a for as Agent for Owner
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to(or affirmedLapd subscribed before me of xx Physical Presence or Online Notarization
this '7 day of r&Z ,202;� by
EDWARD J HERITAGE
Name of person making statement.
Personally Known XX OR Produced Identification
Ty of 1 entification Produced
'
(Signature of Notary Public-State of Florida) *,91
pamela A.Evans
Commission No. (Seal)
NOTARY PUBLIC
STATE OF FLORIDA
Comm#GG262789
Expires 10/11/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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