HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONc
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �// �� Permit Number: CLL
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S Ocean Dr Apt 1603, Jensen Beach, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1603 (OR 983-1966)
Property Tax ID #: 4502-610-0143-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Hurricane shutters (accordion type)
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1 Accordion Shutter at the balcony area
CONSTRION IN UCTFORMATION:
11HVAC U GasTank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,303.00
uL—cnecx au apply:
Piping _Shutters
nklers Generator
_ SL7j—F�t.I of First Floor: _
Utilities:Cn Sewer []Septic
❑ Windows/Doors
DRoof
Building Height: 180'
OWNER/LESSEE: ,:
-CONTRACTORr ,
Name Herman & Pamela Levin
Name: Edwing Sosa
Address: 9650 S. Ocean Dr. Apt #1603
Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen Beach State: FL
Zip Code: 34957
�I Fax:
Phone No. L� Z Zi 3D2�5
Address: 460 NW Concourse Place #16
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-905-9431
Phone No. 772-370-0766
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:.ed@edsunlimitedservices.com
State or County License: 28457
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN -LAW INFORMATION: I�I
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thedpermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
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_ Signature of nei essee/Agent
Signature of ontractor/License Holder
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The orgoing instru t was acknowledge before me
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Commission No. L -., •�c MyCammi$ d)e Eat 071816
Commission N�� f(i (Seal)
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Revised 07/15/2014
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