HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' �� �_ Permit Number: �.
SGANE9
SW9610aaB iflPermit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vir inia Avenue Fort Pierce FL 34982
l
CEIVED
APR 13 2018
ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter I
PROPOSED IMPROVEMENT LOCATION: 1: `
orirlrPcc- 10113 Crosby PL., Port St Lucie, FL 34986
i paai npczrrintinn• POD 26 AT THE RESERVE REPLAT CYPRESS POINT (PB 40-3)
LOT 112 (OR 1501-2804 : 1895-1508; 3685-213)
PrnnPrty Tax ID #. 3327-710-0014-000-4
Site Plan Name:
Prniart Name. Hurricane shutters
Setbacks FrontX Back: X Right Side: X Left Side: X
-DETAILED.DESCRIPTION OF WORK
3 aluminum panels
1 clear panel
17 accordion shutters
Lot No.112
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit— c ec all app y:
❑HVAC L_J Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 12,800.00 Utilities:]Sewer ❑Septic Building Height: 20 ft.
OUVNER/LESSEE: =;
CONTRACTOR:`-.:
Name Geraldine Emanuel
Name: Edwing O. Sosa
Address:10113 Crosby PL
Company: Edwing's Unlimited Shutter Services, LLC.
Address: PO Box 881085
City: Port St. Lucie State: FL.
Zip Code: 34988 Fax: (772) 905-9431
City. Port St Lucie State:FL.
Zip Code: 34986 Fax:
Phone No. (772) 528-9318
E-Mail:
Fill in fee simple Title Holder on next page ( if different
Phone No. (772) 370-0766
E-Mail: ed@edsunlimitedservices.com
State or County License: 28457
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Lommencemenz is regwreo.
SUPPLEMENTAL CQNSTRI�CTION 1iEN3LAWxINFO�RMATION
C .
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DESIGNER/ENGINEER: x_ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
�nmmnnrinawnrlr nr rsnrnrrlina vnttr Nntirp of Cnirlmpnrpment.
Signature IContractor/License Holder
Ignature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF M Lk ti t
COUNTY OF -c —
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledged before me
this _1 day of K 0.0 CJA 20 by
this \<�5_ day of 20 �Co by
t�Eralli'it%,t, L►ti.aHuc�
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Name of person making statement
Name of p4son making statement
Personally Known OR Produced Identification L✓/
Personally Known OR Produced Identification ✓
Type of Identification
Type of Identification
Produced
Produced
am
p AL.SOSA
(Signature of Notar P "urr ate of Flo
i n r Notary Public- of da ANAMARCELAALARCON
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Notary Public -State of Florida •
: NotaryPubllc-State ofFlorid
_ COMV&% NFF9629a2
Commission No. 1'� "fJ f�
Comm. Ex Tres Ma 2% 2020
='aommission9GG135318
Commission No. =;e�yComm.ExplresAug16,2a
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rrrfrra Bonded through National Notary Assn.
.,.6ccded through National Notary As
REVIEWS
FRONT
ZONING
SUPERVISOR,
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17