HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONM1110 t 2nla a
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: C4
BY
St. Lucie County
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Building Permit Applicatio iir,,,n 410/0 eport
Planning and Development Services Cokin 07017t
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Building and Code Regulation Division
2300 VirginiaAvenue, FortPierce FL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial IL�2obb Residential
I PERMIT APPLICATION FOR: Shutter III
PROPOSED IMPROVEMENT LOCATION:
)Add ress: 3200 N Highway Al A Unit 910, Fort Pierce, FL 34949
Legal Description: Sea Palms Unit 910 and Pro Rate Share in Common Elements (OR3121-1772; 3767-2043)
Property Tax ID #: 1425-600-0086-000-6
Site Plan Name:
Project Name: Carol Clements
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Lot No.
Block No.
I CONSTRUCTION INFORMATION: III
MUUMUJI01 WUIN LU U
HC
VA
11CU
I(J3U I J T
as ank
UIIUCI L1MJJC11J11L-U
Das
Piping
Elecink.
IJ
Plumbing
OSprinklers
Total Sq. Ft*of Construction:
Cdst' of Const , ruction: $ _7q 7Lr
3'�'u ers []Windows/Doors
Roof pitch
3e rdtor Roof
Sq- Ft. of ' First Floor:
�. < = F71 —
Utilities: S6ver 1.4LISeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Carol - G Clements
Name: E&varia J Heritage
Address- 3200 N Highwqay AlA #910
C6rnpany: Folding Shutter Corporation
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 954-240-7991
Address: 7089 Hemstreet Place
City: West Palm Beach State: FL
Zip Code: 33413 Fax: 561-640-8204
Phone No. 561-683-4811
E-Mail:—
Fill in fee simple Title Holder on next page (if different
from the Owner listed'a I bove)
E-Mail: info@foldingshutters.com
State or County License: SCC131151041.
If value of construction is $250D or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENG INEER: Not Applicable MORTGAGE COMPANY: Noi Applicable
Name: Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: _ Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable BONDING COMPANY: —NotApplicable
Name: Name: N/A
Address: 7089 Hemstroet Pla� 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 andcovenants 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 btain financing, consult with lender or an attorney before
commencing work or recording your Noticoeo of Commencement.
Sigh5ture of Own2±n2B/�Contra r as Agent for Owner, \Signatu re of ContrVAcir/0—cens
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beam
The Ing instrument was acknowledge efore me The Ing instrument was acknowledgedebefore me
fo Ab
this Jwdayof t0c:�10 20 LYby thisfoir1fdayof AJ y
Edward J Hentage Edmrd J Hentagem
Name of person making statement Name of person making statement
ntifi
Personally Known x OR Produced Iden Personally Known x OR Produced Ide
Type of Identification Type of Identification
Produc 9 "a Produced
m
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(Signature
(Signature of Notary Public- State of Florida of Notary Public- State of Florida G)
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Commission No.66-.24 Z-7 91 (Sealo Comm! � w
ssionNo.6-& R4;J7k7 Q
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA TION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17