HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 —21 -{ I SCANNED Permit Number:
BY
St. Lucie County
RECEIVED
Building Permit Application JAN 2 9 2glg
Planning and Development Services tting Department
Building and Code Regulation Division permimi Lucie epartm
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter III
PROPOSED IMPROVEMENT LOCATION: III
Address: 3000.N HIGHWAY AIA APT 10D, FORT PIERCE, FL 34949
Legal Description: THE ATRIUM ON THE OCEAN II (OR 1558-594) UNIT 10-D(OR 1587-1592: 3984-2214)
Property Tax ID #:1425-756-0036-000-1
Site Plan Name:
Project Name: OESTEREICH, MARY
Setbacks Front Back Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALL (3) ACCORDION SHUTTER
INFORMATION:
L_1 Gas Tank UGas Piping
0 Plumbing ❑Sprinklers
Shutters ❑ Windows/Doors
Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 12,238.81 UUlitiestSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OESTEREICH, MARY
Name: Jeffrey Tollison
Address: 3000 N HIGHWAY AlA APT 10D
Company: All American Shutters & Glass
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 772466-7842
Address:1638 Donna Road
City: West Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No. 561-712-9882
E-Mall: GOESTEREICH(a�ATT.NET
FlII In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall: per mits(&aHamericanshutters.com
State or County License: CGC 1512423
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not. Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
23
I certtfythat no work or installation has commenced prior to the issuance of a permit.
no
:e the permit holderto build the subject structure
orand covenants that may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of r/Agent/ Lessee Sgnatu ntra or/License Holder
STATE OF FLORIDA
COUNTY OF 5T . Lcie,t la
The fo oing instrument was acknowledged before me
this/&dayof S4IUU1WH .20!tby
(Name of person acknowledging)
� �/ck
Vi'gnattre of Notary Pu -State of Florida)
Known Personally 0R Produced Identification
Type of Identification Produced
Commission No. (Seal)
N.
Revised 07/15/2014 "•—I Expires: 00. 22, 2020
S. Bonded thru Aaron Notaru
STATE OF FLORIDA
COUNTY OF KT. i rttit tE
The forgoing instrument was acknowledged before me
this L day of �4NutBi2 rr . 20-$ by
a - bltira
(Name of person acckknoowledging )
(Signat re of Not7011
State of Florida )
Personally Known Produced Identification
Type of Identification Produced
Commisslg&OP %�,_i n ni Am Aloarone (Seal)
thru Aaron Notary
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