HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-'W" SCANNED Permit Number: no ol,59q
BY
St. Lucie County
RECEIVED
Building Permit Applicatio%N ..D'n79
Planning and Development Services
Building and Code Regulation Division Permitting uepartm.rK
2300 Virginia Avenue, Fort Pierce FL 34W2 . St' Lyalp eednty
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter III
I PROPOSED IMPROVEMENT LOCATION:
Address: 3000N HIGHWAY AIA APT 9B, FORT PIERCE, FL 34949
Legal Description: THE ATRIUM ON THE OCEAN 1I (OR 1558-594) UNIT 9-B (OR 3681-1043: 3953-932)
Property Tax ID #:1425-756-0030-000-9 Lot No.
Site Plan Name: Block No.
Project Name: KEIRSTED, JAMES
Setbacks Front Back Right Side: Left Side:
DETAILED DESCRIPTION OF WORK w III
INSTALL (1) ACCORDION SHUTTER
r
CONSTRUCTIONRM INFOATION ,Y Nw.
ditional work o brIfformeaunderthis permit— check all 1baapply,
1JHVAC Gas Tank 0Gas P! Idi_Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 7,621.31
S . Ft. of First Floor: _
UtllItles-tSewer OSeptic
Building Height:
OWNER/LESSEE:CONTRACTOR:;
Name KEIRSTED, JAMES
Name: Jeffrey ToUison
Company: All American Shutters & Glass
Address: 3000 N HIGHWAY AlA APT 9B
City: FORT PIERCE State: FL
Address:1638 Donna Road
Zip Code: 34949 Fax:
City: West Palm Beach State:FL
Phone No. 407-399-8105
Zip Code: 33409 Fax:
E-Mall: NKEIRSTED(n,GMAIL.COM
Phone No. 561-712-9882
E-Mall: permits(a,allamericanshutters.com
FIII In fee simple Title Holder on next page ( If different
from the Owner listed above)
State or County license: CGC 1512423
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required,
SUPPLEMENTAL CONSTRIIi T10TV'LIEN'LA1N INFORMATION:'
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not
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.
5t. Lucle Count makes no repprperntation that is granting a permit will authorize the permit holder to build the subj p sir,% sree
which is in con Iict with as a Iiwble Home Owners Assoc permit
rules; bylaws or and covenants that may. restrict or rohl R
structure. Please consult with your Home Owners Association and review your deed for any restrictions 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 5t. 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
Lessee
Holder
OF FLORIDA I STATE OF FLORIDA
rYOF 5f. 1_i�..iE COUNTY OF <,r. Gc��
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this OS' day of 5 fiA)yl1---!/ . 20 LT by I this?sday ofc_YJA1 u k4_tz . 20-1� by
S�A/1675 045_1112S-T" I YZ-F�-ro�i�so,1J'
(Name of person acknowledging) (Name of perso acknowledging )
(Signature 6f Notary Public to of Florida)
Personally Known __V/ OR Produced Identification
Type of Identification Produced
I" q, Ralph N. A parone
CommLssion No. Commission £ GG005916
"= Expires: Oct. 22, 2020
Revised 07/15/2014
Commission No. 'v;vJ,,, Ralph N. Alparone
`'�= Commission £GG005916
Bonded thru Aaron Notary
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