HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /y SCANNED Permit Number: qD 5-
d . ] Affl St. Lucie County
RFC,
Building Permit Application#q?
Planning and Development Services �aF 0y?oi
Building and Code Regulation Division \� ////�� s�tHng o 9
2300 Virginia Avenue, Fort Pierce FL 34982 x I Lurie 0 �n nE
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial /��i Residential
PERMIT TYPE: HgfZAI r-4&1 G SH TTE S
PROPOSED IMPROVEMENT LOCATION:— __
Address: 3000 N HIGHWAY AIA APT 31), FT PIERCE, FL 34949
Property Tax ID #: 1425-756-0008-000-6 Lot No.
Project Name: ROTH, STEVEN
CONSTRUCTION INFORMATION.•'"•� - �' -' •-_ .. w. _ - ....
Additional workto be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 12,238.81
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameROTH, STEVEN
Name: Jeffrey ToRison
Address:3000 N HIGHWAY AlA APT 3D
Company: All American Shutters & Glass
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.305-898-5331
Address:1638 Donna Road
City: West Palm Beach State:FL
Zip Code: 33409 Fax:
Phone No 561-712-9882
E-Mail: SROTH@MCTRUST.COM
Fill In fee simple Title Holder on next page (If different
from the owner listed above)
E-Mailpermits@allamericanshutters.com
State or County License CGC 1512423
iT value oT construction is R5u0 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
I_ _. .'y.a,
3..
CONSTRUCTIQN
.... __ %1
LIEN LAIN
_. _. ,L. _
INFORMATIQN
:' l._�... _e'er. 1. '•
.'. ,
DESIGNER/ENGINEER: ENGINEER:
Name:
Not licable
Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Address:
_Not Applicable
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no reprejentation that is granting a �ermlt will authorize the permit holderto build the subject structure
which Is in con Ict with anY applicable Home Owners Association rules, bylaws or and covenants 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 appUwtions are exempt from undergoing a full concurrenry review: room additions,
accessory structures, swimming goolsyances, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TOO OWNER:
Yo r fail
re t
Record a Notice of Commencement may result In your paying twice for
improvements o
our pro e . A
tice of Commencement must be recorded and posted on the jobsite
before t i
pection If u int
nd to obtain financing, consult with lender or an attorney before
commen in wo
Notice of Commencement.
�or1
V
40
Signature o r/Agent/Lessee
Signature ControctorLicenseHolder
STATE OF FLORIDA
COUNTY OF PA LW/�� atr11
®�
STATE OF FLORID
COUNTY OF�i CM 9454e/l
The fo ofpgInstrumentwasacknowledgedbeforeme
thisf ayofA-A L. 20_by
2a
person
The forging instrument was acknowledged before me
this (�day of A-P/Z/L 20_ by
J ,PrC-R'4 TC7LU 4c!7 W
(Name of person acknowledging)
( gna5� ture of Notary Public- State of Florida )
Personally Known OR Produced Identification, Personalty Known
Type of Identification Produced D _h/r/L"; U Type of Id1%11?
OR Produced Identification
153604
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS