HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE
Date: '
PPLETED FOR APPLICATION TO BE ACCEPTED ;�C
SCANNED Permit Number: i W� W 9
BY RECEIVED
St. Lucie County
Building Permit Application
Planning and DevelopmentServlces
Building and Code Regulation Division
23001Rrglnla Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JAN 2 9 2019
Per St. inLucia S u�tv
Residential
PERMIT APPLICATION FOR: Shutter III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 3000 HWY AIA APT 10A, FT PIERCE.,FL 34949
Legal Description: THE ATRIUM ON THE OCEAN 11(OR 1763-1432 UNIT 10-A
PropertyTax ID#:1425-756-0033-000-0. Lot No.
Site Plan Name: Block No.
Project Name: SHITT, PHILLIP
Setbacks Front Back: Right Side: LeftSlde:
DETAILED DESCRIPTION OF WORK: r III
INSTALL (3) ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:<"
J
mattional wor to oeIrrorme underthiS
E3HVAC Gas Tank
permit— e
❑Gas Piping -
a pp y
' Shutters
❑ Windows/Doors
Electric 0 Plumbing
[]Sprinklers'
Generator
Roof
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 13,150.65
Utilltles;tSewer
Septic
Building Height:
OWNER/LESSEE.
-CONTRACTOR.
Name SHITT, PHILLIP
Name: Jeffrey Tollison
Company. All American Shutters & Glass
Address: 3000 HWY AIA APT 10A
Address:1638 Donna Road
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
City: West Pahn Beach State:FL
Phone No.772-469-7011
Zip Code:33409 Fax:
Phone No. 561-712-9882
E-Mall: SKITTPHILna,YAHOO.COM
Fill In fee simple Title Holder on next page ( If different
E-Mall: permitsna,allamericanshutters.com
from the Owner listed above)
State or County License: CGC 1512423
If value of construction B g2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRU 7,6N 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.
no
:e the permit holder to build the subject sti�ructure
deed or an ressttr alonmay
whichtma or pro ibit such
Y Y PPV
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 vour Notice of Commencement.
Signature of ftnereVlessee
STATE OF FLORIDA
COUNTY OF C-r
The forgoing Instrument was acknowledged before me
thls & dayofT"iOULWWY 20 L%by
STATE OF FLORIDA
COUNTY OF ST-. 2fjy;,9-
The forgoing instrument was acknowledged before me
thls_ffp_dayof 2o_L@by
/GGii9 ste;T-r I a Fea Tnc�y�N
(Name of person acknowledging) (Name of person acknowledging )
(Signature o Notary Public- S e of Florida)
Known Personalty ✓ R Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/201
Wok. Alparone
Commission # GG005916
thru Aaron Notary
41A Of
JSIjinatur404of Notary Publi tate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
—Ralph N. AlparonejSealj
Commission € GG005916
Bonded thru Aaron Notary
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