HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BUE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \
Date: 1 a 3 Permit Number:
Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial CONZ�
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N Highway A1A Unit 708, Fort Pierce, FL 34949
Legal Description: Sea Palms Unit 708 and Pro-Rata in Common elements (OR
Property Tax ID #: 1425-600-0064-000-6
Site Plan Name:
Project Name: Bradley P Ramsey
Setbacks
Back: Right Side:
Left Side:
RECEIVED
n
DEC 13 2018
ST. Lucie County, Permitting
Residential
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:_ III
�j -,4(► j 6Cc0.t_-U;0n3 sHU77<fA.5 SCANNED
�°(Cf}NI� U2R-i t?oll;N� S�v��ie. BY
St. Lucie County
CONSTRUCTION INFORMATION:
Aaditional work to e performed under tispermit—check all apply:
0HVAC Gas Tank DasPiping_Shutters ❑Windows/Doors
Electric El Plumbing Sprinklers ElGenerator 0 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ D 2 a�
S Ft. of First Floor: _
UtilitiesSewer 0Septic
Building Height:
OWNER/LESSEE: Bradley Ramsey
CONTRACTOR: Folding Shutter Corporation
Name BradleyP�Ramsey=','-:� -°
Name:Edward J. Heritage,
Address:3200 N A1A_ Unit 708
Company: Folding Shutter Corporation
City: Foh.Ferce State: F�
Zip Code: 34949 Fax:
Phone No. (502) 376-0452
Address::.7o,f2,q';( iyST.t ear— f
City!U5tST--AI;-L $ems State: 'rl
Zip Code: '5 34/1 3 Fax: (561) 640-8204
Phone No. (561) 683-4811
E-Mail: NIA
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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
vdiot 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:
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 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.
`- - -
I-
Signature•ofOvkrr /-tessee Can for as Agent for Owner
Signature of-C[IJcgn er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beam
COUNTY OF Palm Beam
The for oing instrum"t was acknowledg efore me
this day I/ec
The for oing instru t was acknowledgeQwfore me
this day 20 /1 by
of . 20�by
_1
Edward J. Heritage
Edward J. Heritage
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known a OR Produced Identification
Type of Identification
Type of Identification
Produc -
Produced
S
Z
(Signature of Notary Public -State of Florida )
(Signature of Notary Public -State of Florida )
Commission No. 6<-%2' (N IaA.
Pamela A. Evans
Commission No�_6_20�89 NR"AYPUSLIC
NY PUBLIC L
c n OTAR
ESTATE OF FLORIDA
s: STATE OF FLORIDA
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REVIEWS
FRONT
�N0i"'j GExpi
UFAVRA
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17