HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: `I�JOL' oi>G 1
SCANNED
BY RECEIVED
St. Lucie County FEB .1;4 2019
Building Permit Application Permitting De
Partment
Planning and DevelopmentSeMces St• tuoe county
Building and Code Regulation Division ti/
2300 Virginia Avenue, Port Plerce n 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter III
Address: 3000 N HIGHWAY ALA APT 8C, FORT PIERCE, FL 34949
Legal Description: THE ATR UM ON THE OCEAN H (OR 1558-594) UNIT 8-C(OR 3469-2051)
Property Tax ID 1i:1425-756-0027-000-5 Lot No.
Site Plan Name: Block No.
Project Name: HERMANSON, TERRI
Setbacks Front Back-_RlghtSide: - Left Side:
INSTALL (1) ACCORDION
onaiworKto rrormea unaertnispermit —cr
HVAC Gas Tank ❑Gas Piping
Electric Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7,621.31
Shutters ❑ Wlndows/Doors
Generator Roof
S . Ft. of First Floor: _
UtlIltles:11Sewer OSeptic
Building Height:
OWNER]LESSEE
CONTRACTOR
`�'"
Name HERMANSON, TERRI
Name: Jeffrey ToUison
Address: 5705 DESCARTES CIR
Company: All American Shutters & Glass
City: BOYNTON.BEACH State: FL
Address:1638 Donna Road
Zip Code: 33472 Fax:
City: West Palm Beach State:FL
Phone No. 561-252-5677
Zip Code: 33409 Fax:
E-Mall: TERRI.HERMANSON@OFFICEDEPOT.COM
Phone NO. 561-712-9882
E-Mall: permitsna,aHamericanshutters.com
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
State or County Ucense: CGC 1512423
If value of construction Is $2500 or more, a RECOROED Notice of commencement is required.
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Not Applicable
Name:
Name:
'•,Address:
City:
State:
City: State:
• -
'FEE SIMPLE TITLE HOLDER- __.:_Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Name:
••,Address:
Zip: Phone:
Zip: Phone:
i certify thatnowork
esor Installation has commenced priorto the issuance of a permit.
Swhieti k Inooumrfllcmt kj norm yrreddpreirntgIon that
e Owners in�g a rmit will authorize the permit holderrto build the ssubject so re
structure. Please consultyouraridNelr�dewHaws4ran covenarrtsthatmayrestndorpro ibitsudm
y your tleed for any restrict ons which mayapply.
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. 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 ofOwner/ Agent/ Lessee
STATE OF FLOqq��ppA I STATE OF FLORjgA
COUNTY OF I'lludiFi oOUNTY OF /�i
ThelibrRolIng
lnstrumentwasacknowledgedbeforeme The forgoing Instrument was acknowledged before me
this of_4E43MUg4,Z1 .20�by this2dayof ��,eoa�1 .2oj. by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notdry Public, State7florlds )
Personally Known Z OR Produced Identlfleatbn
Type of Identification Produced
Commission No. Commission i GG005916
'= Expires: Oct. 22, 2020
Revised 07/15/2014
Commission No. "'k... G"'o, Ralph N. Alparone
r. Commission f GG005916
'+ ?`f Fxnires: Oct. 22, 2020
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