HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/2119 SCANNED Permit Number:
BY
RECEIVED
St. Lucie County
0 019
JAN 0 3 2019
Building Permit Application Fj
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
ST. Lucie C u Wo Parmfulng
Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8240 Mulligan Circle #2822
Legal Description: Castle Pines condo Phase V Unit 2822
PropertyTaxlD#: 3327-502-0086-000-0
Lot No.
Site Plan Name: Atteberry
Block No.
ProjectName: Wayne& Jane Atteberry
Setbacks Front X Back: X Right Side: X
Left Side: X
bETAILEDDESCRIPT"ICIN OF �10111(:
Installing 6 Accordion Shutters
Bertha HV Accordion Shutter 1850.3
CON5TRUCTION INFORMATION"
Additional work to Fe—n—effo—rmed underthlS
0 HV E]Gas Tank
permit— check
E]Gas Piping
all
apply:
Shutters
OWindows/Doors
11 Electric E1 Plumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction: $ 3,890.00
Utilities: []Sewer
OSeptic
Building Height:
OWNER/ _,,,,_C0VT
CT�QIR:`
Name WayneAtteberry
Name: WilllamH.Miller
Address:- 11856 Banchary Road
Company: O'Donnell Impact Windows
City: Belvidere State: IL
Zip Code: 61008 Fax:
Phone No. 815-513-2316
Address: 1740 NW Federal Hwy
City: Stuart State, FL
Zip Code: 34994 Fax.
Phone No. 772-408-0200
E-Mail: odannellpermitting@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
-
State or County License: CGC035934
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Name:
Address:
City: State;
Zip: Phone —
FEE SIMPLE TITLEHOLDER: _NotApplicable
Name;
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Address:
City: State:
ZIP; Phone:
BONDING COMPANY:
Address:
zip:
—Not Applicable
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 Coun7 makes no representation that is granting a permit will authorize the ermIt holder to build the subject structure
which is In con Ilict with any applicable Home Owners Assoclation rules, bylaws or anscovenants 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 Commenceffient 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 recording your Notice of Commencement.
�atu
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glign re of Owner/ Uessee/Contractor as Agent for Owner
S ignature of ContractollLicense Holder
STATE OF; FLORIID�
STATE OF FLORIDA
COUNTYOF
COUNTYPF—
T e Tent was acknowledged before me
The f, rig instrJilment was acknowledged before me
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Personally ... w.... 6-� OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Slg�at� #f Notary Public-
Wyh ALLEN
Liu
- ure 6tlNotary pu@lic- WYNN ALLEN
SRI, MR.. )NOtary Public - State of
Commission No.
M�ary Public - State of
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ission NO. VI&AP mmission # FF 92
ommission # FF 923)70
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Rev. 8/2/17