HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONF� O 1�2at9 o 10
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'A - ` \ SCANNED Permit Number: xq O
BY RECEIVED
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- _ '^° "^ St. Lucie County
• - - — — -_ Building Permit Applicati n APR 12 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Shutter
Address: 9900 S Ocean Dr #1510, Jensen Beach, FL 34957
Property Tax ID #: 4502-503-0154-000-1
Site Plan Name:
Project Name: Marlene Krohner
Additional work to be performed under this permit — check all that apply: .
_Mechanical t _ Gas'Taiik' _ Gas Piping V-Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:_
Cost of Construction: $ 12. q / S� Utilities: —Sewer —Septic
Lot No.
Block No.
_'W indo'ws/Doors
_ Roof Pitch
Building Height:
OWNER/L=ESSEE c 3
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CONTRACTOR
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Name Marlene Krohner
Name: Edward J._He_ ritage `
Address: ,. Ocean Dr #1510
Folding Shutter Corporation
Company, 9 rP
City:p .se each _ State: _
t.G,^ $49577"Fax: N/A
Zip :Code +'
Phone'No.231 649-0503:
A4dress:1662,Dr. Martin Luther King Jr Blvd
, West Palm peacti FL '
City: ,. _ State:_
Zip Code:-33404 Ew,7 ' % Fax: 561-640-8204
Phone No 561-663-481 V
E-Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@foldingshutters.com
State or County License SCC131151041
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
r "
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
- Not Applicable
Address:
Address: -
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that.no work or installation has commenced prior to'the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that may restrict or prohibit 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. 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU -INTEND -TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beady
COUNTY OF Palm Beach
The cling instru eJ,q]t wgycknowledgedbefore me
this �1 day �F�R` 20 1 by
The forgoing instrumg nt was cknowledged before me
[I dayof F}PC
of
this 2019by
Edward J. Heritage
Edward J. Heritage
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public -State of Florida YPU `tO
(Signature of Notary Public -State of Florida� Oap—QugStOP\OP
Commission No. �r(Ta2L 2 RT��OFFtORB A
Commission No.&&:?G27� � y tP fOFF26
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