HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' 14 -Z VI 9 SCANNED Permit Number:
BY
=,_r•;�c�=�= St. Lucie County
RECEIVED
Building Permit Application JAN 14 2019
Planning and Development Services
Building and Code Regulation Divlslon ST. Lucie County, Permitting
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Shutter III
Address: 5047 N Highway AIA Unit 604, Hutchinson Island, FL 34949
Legal Description: ATLANTIC VIEW BEACH CLUB CONDOMINIUM #1 UNIT 604
Property Tax ID #:1414-610-0028-000-9 Lot No.
Site Plan Name: Block No.
Project Name. Dianne Melleno
Setbacks Front Back -
Right Slde: Left Side:
DETAILED DESCRIPTION OF WORK: III
Installation of Hurricane Protection 3
oPev 43-S
CONSTRUCTION INFORMATION: III
0HVAC UGasTank
11 Electric 1:1 Plumbing
Piping ®_Shutters ❑Windows/Doors
nklers ElGenerator O Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 12,372.00 Utilities: �Sewer OSeptic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name Dianne Melleno
Name: Robert Altino
Company: Galeforce Hurricane Shutters. inc.
Address:1429 SE Villiage Green Drive - -
Address: 5047 N Highway AIA Unit 604
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No. 908-397-9663
City: Port St. Lucie State:Fl
Zip Code: 34952 Fax:
Phone No. 772-337-6200
E-Mall: tjsbeachome(a)bellsouth.net
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mall: galeforcetc(a,gmail.com
State or County License: CBC1251430
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:
_ 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 Count mak no repre{entation that is granting a permit will authorize the permit holderto build the sub
which is in con ct with any applicable Home Owners Assoc permit
rules, bylaws or and covenants that may restrict c
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may
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
Lessee
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 97_J-LX_C-lt9 COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi(s�/9' day of U-+A 20 11 by this -ZYday of %.4 i1 .2Q_M by
(Name of person acknowledging ) ' (Name of person acknowledging )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. r F 0112, 2-ob
Revised 07/15/2014
Personalty Known / OR Produced Identification
Type of Identification Produced
NOTARY
9/12/2019
No. T l 2,2a, Gabrielle BMrane a
NOTARYPUBUC
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