HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�(_
Date: SCANNED Permit Number: 12L .O's 1z
BY
•
St. Lucie County RECEIVED
Building Permit Application MAY 17 2018
Planning and Development Services t ni0ng
Building and Code Regulation Division Permitting
tinDepartment
g County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial u?v Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 2900 N A1A Unit 7C
Legal Description: The Atrium On The Ocean Unit 7-C
Property Tax ID #: 1425-702-0023-000-0
Site Plan Name: Stephen F. & Nancy T. Cassidy
Project Name: CASSIDY
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
SNS1.411 out nCcoti.��oN sr*tv1T�•
I CONSTRUCTION INFORMATION: I
L iHVAC LJGas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction:4 `/�
Cost of Construction: $ ?(-
Piping LJ Shutters
nklers 11 Generator
_ SgI�Ft.I of First Floor: _
Utilities: LJ Sewer 0 Septic
Windows/Doors
gRoof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stephen F. & Nancy T. Cassidy
Name: Edward J. Heritage
Address:2900 N A1A Unit 7C
Company_: Folding Shutter Corp '
City: Fort Pierce State: F�
:.
Zip Code:, 34949 ';';Faz: `-;
Phone'N6.508-31472865 ";'
E-Mail:
Address: 7089HemstreatPI
,
`City: West=Palm Beach State: FL
•,,.rI-W
Zip Code: 33413„,0:-' Fax: 561-640-8204
Phone No. 561-683-4811
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.
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 Count 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
commencing work or recording vour Notice of Commencement.
n
Signature of OwngI2�trao�t r as Agent for Owner
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
this I`{ day of �h 20 I p" by
Edward J. Hedtag�
(Name of
ersonOOacknowledging )
(Signature of Notary Public- State of Florida )
s
Signature of Contr or Livens Ider
STATE OF FLORIDA
COUNTY OF PALMBEACH
The forgoing instrument was acknowledged before me
this day of AtwS 20 lS by
Edward J. Hedtage
(Name of person acknowledging)
c:::�_'
(Signature of Notary Public -State of Florida )
Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FC /So4i-% (Seal)
PAMELA A.
Commission No. YPfSOyL7
PAIo &VA. EVANS
NOTARY PUBLIC
Revised 07/15/2014 STATE OF FLORIDA ' Comm# F 7
= Comm# FF150987 f�Nce tea Expires 10/11/20/11/2018
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