HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: tag-6 SCANNED Perm It Number:
sS:� g. ,.. � . ,. - , BY RECEIVED
St.:Lucie.County J
AN
Building Permit Applicatigg 292019
Planning and _ _ LU
Building and CoIA Regulation Division St. Cu a Coupty°nt
2300 Wrginla Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter III
I PROPOSED IMPROVEMENT LOCATION:
Address: 3000 N HIGHWAY AIA APT 8A, FORT PIERCE. FL 34949
Legal Description: THE ATRIUM ON THE OCEAN II (OR 1558-594) UNIT 8-A(OR 2254-2968)
PropertyTax ID #:1425-756-0025-000-1 Lot No.
Site Plan Name: Block No.
Project Name: I AIAGER, LEE
Setbacks Front Back Right Side: Left Side:
I, DETAILED DESCRIPTIONOF WORK "
INSTALL (3) ACCORDION SHUTTERS
,CONSTRUCTION INFORMATION_. 4,�w
Gas Tank L(Gas Piping
Plumbing ❑Sprinklers
Total Sq. R of Construction:
Cost of Construction: $ 12,238.81
Shutters ❑ Windows/Doors
Generator 11Roof
S . Ft. of First Floor:
Utilltles:Sewer liseptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HAGER, LEE
Name: Jeffrey Tollison
Company- AH American Shutters & Glass
Address: 3000 N HIGHWAY AIA APT 8A
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 954-232-8538
Address-1638 Donna Road
City: West Pahn Beach State:FL
Zip Code: 33409 Fax:
Phone No. 561-712-9882
E-Mall: LEEHAGERna,SGWS.COM
RII In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mall: permitsaaRamericanshutters.com
State or County License: CGC 1512423
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTALICONSTRUC
LIEN',LAW:INFORMATION:
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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.
build the subject %ruc�tture
may restrict or pro ibR such
is which may apply.
inconsideration 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 fallure to Record a Noticeof 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 f'tktend to obtain financing, consult with lender or an attorney before
commencing work or recording vouNVotice of Commencement.
Signatu of PrOttor/LM!W Holder
STATE OF FLORIDA I STATE OF FLORIDA
GT' COUNTY OF LGG/� COUNTY OF ST. &, gt C
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this 5 dayof__ :MgAiQ20 LSLby this �day of 'iRnJf/✓iW✓ 20_Lft by
LAG /fl4G,B—!e I A%�/ %ltJGG/c�n�
(Name of person acknowledging) (Name of person acknowledging )
(SIgAiture,6f Notary Public to of Florida)
PersonallyKnown OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
(Signatui of Notary Publ State of Florida)
Personally Known e OR Produced Identification
Type of Identification Produced
on # GG005916 Commission No.
Oct. 22, 2020
Ralph N. Alparone
Commission # GG005916
Banded thru Aaron Notary
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