HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: SCANNED Permit Num
BY RECEIV
St. Lucie CountyED
B •Ia•
W Ing Permit
Planning and Development Services
Building and Code Regulation Division
23W Wrginto Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JAN 21 2019
Permitting Department
"fie Cta'Gntyr FL
PERMIT APPLICATION FOR: Shutter III
PROPOSED IMPROVEMENT LOCATION: III
Address: 3000 N HIGHWAY AIA PENTHOUSE A, FORT PIERCE, FL 34949
Legal Description: THE ATRIUM ON THE OCEAN H (OR 1558-594) PENTHOUSE GARDEN A (OR 1800-1684)
PropertyTax ID #-1425-756-0041-000-9 Lot No.
Site Plan Name: Block No.
Project Name: LOCKSTADT, CORNELI A
setbacks Front Back: RlghtSide: Left Side:
DETAILED DESCRIPTION .OF WORK: III
INSTALL (3) ACCORDIONS
;CONSTRUCTION INFORMATION: " ^_r' >' x" •" 'ws���
L.j Gas Tank
0 Plumbing
Total Sq. R of Construction:
Cost of Construction: $ 13,606.63
Piping QShutters ❑ Windows/Doors
nklers Generator Roof
S . Ft. of First Floor:
Utilitles:11SewerSeptic Building Height:
OWNER,/LESSEE:
CONTRACTOR: -'
Name LOCKSTADT, CORNELLA
Name: Jeffrey Tollison
Address: 542 GINGERMILL LN
Company: All American Shutters & Glass
City. LEXINGTON State. KY
Address:1638 Donna Road
Zip Code, 40509 Fax:
City. West Palm Beach State:FL
Phone No. 859-361-7735
Zip Code: 33409 Fax:
E-Mall: HLOCKSTADT(a,WINDSTREAM.NET
Phone No. 561-712-9882
Fill In fee simple Title Holder on next page ( If different
E-Mall: Permits( )allamericanshutters.com
from the Owner listed above)
State or County license: CGC 1512423
Is R500 or more, a
of Commencement is required.
I'
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
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 CountAmakes no represent flon that Is granting a permit will authorize the permit holder to build the subject structure
which is in con ct 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 our Notice of Commencement.
&)WAL, 4 c4 4%ter
Signature of Owner/Agent/ Lessee Signature acto tense Holder
STATE OF FLORIDA I STATE OF FLORIDA
COU� NTYOFr. Lrr,s COUNTYOF S-r.. 6rrg1-
The forgoing instrument was acknowledged re me The flop
orpoIngInstrument was acknowledged before me
this J� day of )Ef. 66:e 20 _ by this 1 it day of 5r�a 7Z 20_J by
(, WA,1A1_1,o4 �K/�crr7bT I �C2All toLL/C'r3iCJ
(Name of person acknowledging) (Name of pe n acknowledging )
JSIgnapfe Or otary Public- 5t of Florida )
PersonallyKnown Prc duced identification
Type of Identification Produced_ I L
Commission No. _Alparone
'O s COm ISS101IG6005916
Bonded thin Aaron Notary
Revised 07/15/2014
(Sign& & /�) YIA!! ! ��
re of otary Public-S of Florida )
wn Personally Kno✓ 0 Produced Identification
Type of Identification Produced
Commission
Oct. 22, 2020
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