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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION©I 0c) L ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: IN >Fiunoo elonl'}s - s AS iO3NNVOS RECEIVED Building Permit Application FEB 28 Z(Iia Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial`Ca�t' Residential PERMIT APPLICATION FOR: Shutter RROPOSED'IIVIPROU.ENIENT LOCATIONz Address: 8880 S Ocean Dr L&'101 Legal Description: Island Dunes Oceanside Cond I Unit Property Tax ID #: 3535-602-0055-000-0 Site Plan Name: David F. Graf & Patricia J. Harrison Project Name: GRAF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED'DESCRIPTION'-OF WORK: ►3�A f( 4/ A cco)LD and 54ci tT�.c S CONSTRUCTION INFORMATION: MUU1l1V11G1 WUJK W UC CllUllllCU UllUCI UIID pCllllll—UICLK GII HIOL dLwjy. 0HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors Electric 0 Plumbing ❑Sprinklers1:1 Generator Roof Roof pitch Total Sq. Ft of Construction:: Sq. Ft.of First Floor: Cost of Construction: $ (0 C 00 Utilities: 0 SewerEl Septic Building Height: OWNER/LESSEE: , .. CONTRACTOR": Name David F. Graf & Patricia J. Harrison Name: Edward J. Heritage Address: 8880 S Ocean Dr Unit 701 Foldin Shutter Co Compgny:,1_,..9 rp City: Jan sen, Beach, :, State:F� Zip Code 34957:r : `Fax: 772-291-8038 ' Phone,No.•- Address: -7089!Hem"street:Pl pity West5Palm Beacti State: FL 33413 ',"' ` 561-640-8204 Zip;Code:. Fax: Phone No. 561-683-4811 E-Mail: 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 $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALvCONSTRU LIEN IAW INF.ORMAT ON F, ,� '. �a x, DESIGNER/ENGINEER: _ Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name:' ' Not Applicable BONDING COMPANY: Name: _Not Applicable 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 commencine work or recordine vour Notice of Commencement. Signature off' Les ontractor as Agent'for Owner STATE OF FLORIDA COUNTY OF Palm Beach The for Ong instrumggxt yeas acknowledge efore me this day of /` , 20 by Edward J. Herftag (Name of person acknowledging) (Signature'of Notary Public -State of Florida ) Personally Known V�'OR Produced Identification Type of Identification Produced STATE OF FLORIDA COUNTY OF Palm Beams The forgoing instrument as acknowledgeA before me this 7 day of 20 1217 by Edward J. Heritage (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known `� OR Produced Identification Type of Identification Produced Commission Nol-9r_l VD yG� (Sea1' Commission No. F r I S��G7 (Seal) AR q PAMELA A. EVANS r PAMELA A. EVANS NOTARY PUBLIC STATE OF FLUKILIA — STATE OF FLORIDA Revised 07/15/2014 ' Comm# FF150967 Comm# 011112n it MHCE 19Expires 11011112018 �e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE J! COMPLETE INITIALS m