HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4>3a-7a0 1`7 NS
ALL APPLICABLE INFO MUST BE COMPLETED F9R,AP��€-I�TION TO BE ACCEPTED
Date: BY Permit Number:
St. Lucie County C
EWED
Building Permit Application Allll9��C,,�l
Planning and Development Services Building and Code Regulation Division AUGG "t!
, 9 2�17
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial /condo unit Residential pEFIMt' riAJG
PERMIT APPLICATION FOR: Shutter III
PROPOSED IMPROVEMENT LOCATION:
Address: 2700 N A1A Unit 305
Legal Description: Aquanique Ocean Club Unit 305
Property Tax ID #: 1425-704-0015-000-7
Site Plan Name:
Project Name: Dozetos Resience
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
pST{,4I I -/ ►4CCo.t_: i`) � p , i QTrkot_S_
CONSTRUCTION INFORMATION:
1_1HVAC Li Gas Tank
11 Electric 0 Plumbing
Lot No.
Block No.
Piping ❑�_ Shutters ❑ Windows/Doors
nklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ %, % �O Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
N a me Ann Dozetos
Name: Edward J Heritage
Address:2700 N,A1A-Unit 305
Company:.Fglding Shutter,Corporation
Address: 7089 He'msVeet PI
City:, Fort,Piercerr . '-.' c?": State: FL
Zip Codef 34949„3' ';i `_ ;Fax:
Phone No. 404-775-9204_1 _'
City:"West Palm Beach-- State: FL
Zip Code: 33413 Fax: 561-640-8204
Phone No. 561-683-4811
E-Mail: n!a
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: info@foldingshutters.com
State or County License: SCC131151041
If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:°
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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
'Signaturedf'OWner/L at !NrasAgentforOwner
STATE OF FLORIDA
COUNTY OF PALM BEACH
The fy g. g instrurypRt yvas acknowledged before me
this day of J E!7 20 [Zby
EDWARD J HERITAGE
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forg i* instrumeoimas acknowledged before me
this a- ay of _ -JJ 5 20 R by
EDWARD J HERITAGE
(Name of person acknowledging )
(Sign of Notary Public- ate of Florida�
Personally Known - OR Produced Identification Personally Known - OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. EF1SO4r.7 ,, A &MELA A. EVANS Commission No. F F156 KY (Seal)
aVS NOTARY PUBLIC �t Y PAMELA A. EVANS
o —STATE OF FLORIDA NOTARY PUBLIC
omm# FF150967 =STATE OF FLORIDA
Revised 07/15/2014 CE 1910 Expires 10/11/2018 ? eW e 0ornm# FF15o967
'YCE 19n Expires 10/11/9n1R
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