HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE 0.-
Date:
.cTED FOR APPLICATION TO BE ACCEPTED
SCANNED PermitNumber:
BY
St. Lucie County
Building Permit Application
Planning and DevelopmentServloes
Building and Code Regulation Division
7300 Virginia Avenue, Port Merce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
RECEIVED
JAN 2 : 1919
permitt 9 Daportment
5 ucle County
Residential
PERMIT APPLICATION FOR: Shutter III
ED
Address: 3000 N HIGHWAY AIA APT 8B, FORT PIERCE, FL 34949
Legal Description: THE ATRIUM ON THE OCEAN II (OR 1558-594) UNIT 8-B (OR 3996-2823)
PropertyTax ID #:1425-756-0026-000-8 Lot No.
Site Plan Name:. Block No.
Project Name: VOSTERS, JAMES
Setbacks Front . Back Right Side; Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL (1) ACCORDION
CONSTRUCTION INFORMATION:
Adolvionalwon(TOD(Jr[Ormedunderthis permit— checRK allUzipply.
E1HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
11 Electric 13 Plumbing []Sprinklers Generator ❑Roof
Total Sq. R of Construction:
Cost of Construction: $ 7,421.31
So. Ft.ofFirstFloor:_
Utilities: Sewer Oseptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name VOSTERS, JAMES
Name: Jeffrey Tollison
Address: 1310 NW LAKESIDE TRL
Company: AB American Shutters & Glass
City. STUART State: FL
Address:1638 Donna Road
Zip Code: 34994 Fax:
City: West Palm Beach State:FL
Phone No. 772-285-3551
Zip Code: 33409 Fax;
E-Mall: JVOSTERS(7a,COMCAST.NET
Phone No. 561-712-9882
Fill In fee simple Title Holder on next page I; If different
E-Mall: uermitsCa allamericanshutters.com
from the Owner listed above)
State or County License: CGC 1512423
If value of Construction Is $2500 or more, a RECORDED Notke
Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City. State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
build the subject s>hructure
may restrict or pro Ibit such
is which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree that[ 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-residentlal 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
STATE OF FLOA
COUNTY OF NGrn /AeAeF/
The forgoing Instrument was acknowledged before me
th6,fldayof pecc;W.�z . 20.4Y by
Signature cto nse Holder
STATE OF FLORIDA
COUNTYO/iSA. 14
The forgoing instrument was acknowledged before me
this ,-{a,dayof20_Aby
"Tarvrft VO.fT&rLc `S,r+aF•rzzy j/ -fYL/_�c��
(Name of person acknowledging) (Name of person acknowledging)
(Signoffr
otary ubilc- a of Florida)
Personally Known Produced Identification
Type of Identification Produced -�oL
Commission No. Ralpl�41parone
Commasion # 60005916
Revised 07/15/f% ° Bonded thru Aaron Notary
(Signal re Votary Public- Sja}e of Florida I,
Personally Known V' OR Produced Identification
Type of identification Produced
"nV'Py Commission No. ., Ralph N. ar e
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mmlaslon 916
.•'_` Expires: Oct. 22, 2020
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