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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED go/ r
Date: SCANNED- Permit Number: L7
BY ECEIVED
St. Lucie County JAN 2 g
1019
Building Permit App iiC7tiorf Ormittin® "POrtment Planning and DevelopmentServlaes St. Lucia County
Building and Code Regulation olvlslon
2300 t4rginla Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter III
PROPOSEDIM
Address: 3000 N HIGHWAY AlA 4C, FORT PIERCE, FL 34949
Legal Description: THE ATRIUM ON THE OCEAN 11(OR 1558-594) UNIT 4-C (OR 4088-763)
Property Tax ID #:1425-756-0011-000-0
Site Plan Name:
Project Name: KINIRY, WILLIAM
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 11 111
INSTALL (1) ACCORDION SHUTTER
CONSTRUCTION INFORMATION: III
L AGasTank
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7,621.31
Piping
shutters ❑ Windows/Doors
Generator EIRoof
S . Ft. of First Floor:
Utilities: Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name KINIRY, WILLIAM
Address: 333 UPPER GULPH RD
Name: Jeffrey Tollison
Company: All American Shutters & Glass
City. RADNOR TOWNSHIP State: PA
Zip Code: 19087 Fax:
Phone No. 610-525-3430
Address:1638 Donna Road
City: West Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No. 561-712-9882
E-Mall: NANICIN333(a),AOL.COM
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall: permits(a aHamericanshutters.com
State or County License: CGC 1512423
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
CTION LIEN LAW
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
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.
5t. L cie County malt no representatlon that is granting ape permit will authorize the permit holder to build the subject structure
whicf is in confl ct witt any applicable Home Owners Association rules, bylaws or and covenants that my 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, 1 do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucle 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
Signature of Owner/Agent/ Lessee Signatureract cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY0129Y. Lucie COUNTYOFgr. tccrti
Thefo oin instrument wasacknowled edbeforeme The forgoing instrument was acknowledged before me
the dayof lwju*42 20�by thk�dayof 94rJU�d 20� by
17,�iitiam 4f/i /rkY T6 d.Pap, +/ X"e..I ZoW
{Name of person acknowledging) (Name of person acknowledging )
i /e/
(Signaturq4f Notary Public-
a of Florida)
Personally Known R Produced
identification
Type of Identification Produced
Ralph N. At arone
Commission No. oP"'"'B -- CommisskWK005916
i
Expires: Oct. 22, 2020
Revised 07
(Signatur of Notary Pubill ate of Florida )
Personally Known _%OR Produced Identification
Type of Identification Produced
Commission No. o" av'v%' o, Ralph N.(Wtpe
? Commission # GG005916
Bonded thru Aaron Notary
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