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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: M - © - V SCANNED BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Shutter Address: 3000 N HIGHWAY AlA APT 4B, FORT PIERCE, FL 34949 RECEIVED FEB 13 1019 Permitting Department St. Ludo Cou Residential Legal Description: THE ATRIUM ON THE OCEAN II (OR 1558-594) UNIT 4-B(OR 2438-76) Property TaxID #:1425-756-0010-000-3 Site Plan Name: Project Name: WELIA, GERARDO Setbacks Front Back: Right Side: Left Side: INSTALL (1) ACCORDION SHUTTER Lot No. Block No. _ HVAC ❑ Gas Tank ❑Gas Piping Shutters ❑ Wlndows/Doors Electric 0 Plumbing []Sprinklers ❑ Generator ❑ Roof Total Sq. R of Construction: Cost of Construction: $ 7,621.31 S Ft. of First Floor: _ Utilities Sewer ❑Septic Building Height: rOW1UE7t/L55£E_ `" C_O_N_TRACTORe Name WELIA, GERARDO Name: Jeffrey Tollison Address: 2527 RAMSHORN DR. Company: All American Shutters & Glass City: MANASQUAN State: NJ Zip Code: 08736 Fax: Phone No. 917-576-9663 Address:1638 Donna Road City: West Palm Beach State:FL Zip Code: 33409 Fax: Phone No. 561-712-9882 E-Mail: JERRY.DELIA(a,VERIZON.NET Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: permits(aDallamericanshutters.com State or County License: CGC 1512423 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. I_._ --- ---- __ 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 Address: City Zip: Phone: I certifythat no work or Installation has commenced prior to the issuance of a permit. ethe permit holderto build the subject ssttricture or and covenants thaatt may restrict or prohibit such deed for arty restriction 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 FLORI�aziSTATE OF FLORIPA COUNTY OF � R acsf COUNTY OF !/fit. The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me this / 2day of � 20 a by this Z day of 20 (3 by (Name of person acknowledging) (Name of persona knowledging ) Known �L_ OR Produced Identification Commission No.�?`•P` ; Ralph N. Alparone — � `'�= Commission 1 GG005916 aria" Bonded thru Aaron Notary Revised 07/15/2014 of Notary PersonallyKnown // OR Produced Identification Type of identification Produced Commission No. "" �+t,k° ��Ralph N. AlparOne Commission►GG005916 thru Aaron Notary REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS