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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� Date: SCANNED Permit Number: RO3 — ©41 1 BY St. Lucie County Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Port Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential —Z PERMIT APPLICATION FOR: Shutter PROPOSED IMPROVEMENT LOCATION: Address: 3000 N HIGHWAY AlA 10-11, FORT PIERCE. FL 34949 Legal Description: THE ATRIUM ON THE OCEAN II (OR 1558-594) UNIT 10-B (OR 1958-668; 3264-1110) Property Tax ID #:1425-756-0034-000-7 Lot No. Site Plan Name: Block No. Project Name: ROHR, MARY Setbacks Front Back Right Side; Left Side: DETAILED DESCRIPTION OF WORK: INSTALL (1) ACCORDION SHUTTER CONSTRUCTION INFORMATION: AcIdItIonal workto rtormed uncler this perm —check a app y �HVAC Gas Tank []Gas Piping Shutters ❑ Windows/Doors ❑Electric 0 Plumbing []Sprinklers Generator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ 7,621.31 UtlIltles:11Sewer IlSeptic Building Height: OWN ER/LESSEE: CONTRACTOR: Name ROHR, MARY Name: Jeffrey Tollison Company: All American Shutters & Glass Address: 4205 ISLAND VIEW DR Address:1638 Donna Road City: FENTON State: MI Zip Code: 48430 Fax: City: West Palm Beach State:FL Phone No. 772-460-0427 Zip Code:33409 Fax: E-Mall: ROGERJROHR(&JCLOUD.COM Phone No. 561-712-9882 Fill In fee simple Title Holder on next page ( if different E-Mall: permits67allamericanshutters.com 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 LAW INFORMATION: 1JtJ1UnitKJtnR71n1ttK: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE Name: Address: _ City: Zip: Phone: HOLDER: _ Not 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. St. Lucie Courrty makes no repreeeMation that is granting a �ermit will authorize the permit holder to build the subject s5ttructure which is In conflict with any applicable Home Owners Assoc ation rules, bylaws or and covenants that may restrict or prohlbft such structure. Please consult with your Home Owners Association and review your 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. Lucle CountyAmendments. 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 of w r/Agent/ Lessee STATE OF FLORID COUNTY OF O The fo oIng instrument Was acknowledged before me this Ifday of_iGffJJA/ 20Ltby /1�.�/ /&2r e (Name o person acknowledging) Notary Personally Known 4 OR Produced Identification Type of Identification Piroduced Commission No. °PP'! Pp, -, Ralph N. Alparone ?••� _ Commission I GG005916 Fxnires: Oct. 22, 2020 Revised 07 STATE OF FLORIDA COUNTY OF � The fo oIng instrument was acknowledged before me thisdayof 20a by (Name of person Acknowledging) Z99 (Slgna re of Notary Pub - State of Florida) Personally Known OR Produced Identification Type of Identification roduced Commission No. .�:il' ,241,. •�,:1..-...a-., Ralph N. Alparone •'�' _ Commission PIGG095916 thru Aaron Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE , INITIALS