HomeMy WebLinkAboutBUILDING PERMIT APPLICATION6 N ZS ,)_0trt Ao sl � 1_..� � Cc �-/14
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ��j��\SCANNED Permit Number: \AGS'6l1 co
BY
St. facie County RECEIV n
— - ------ Building Permit Applicati n MAY 17 2o19
Planning and Development Services
Building and Code Regulation Division ST. Lucle County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982 ���
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8880 S Ocean or 308
Property Tax ID #: 3535-602-0022-000-0 Lot No.
Site Plan Name: Block No.
Project Name: William F Carey
DETAILED DESCRIPTION OF WORK:
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I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apppi
_Mechanical _Gas Tank _Gas'Piping ✓ Shutters'
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ G 2
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
_ Windciws/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William F Carey _
Name: Edward J:.Hedtage _
Address:8880 S Ocean or Unit 308
Company: Folding Shutter Corporation
City: Jensen 'Beaah State: _
Zip Code: 34957 - __ Fax:
Phone No.203-814-6976
Address:1862 Di. Martin Luther King Jr. Blvd
City: West Palm Beach . State: FL
Zip Code: 33404 Fax: 561-640-8204
Phone No 561-683-4811
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 requuea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 permit holder to build the subject structure
which is in conflict 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 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 Beads
COUNTY OF Palm BeaM
The forggIng instrument was acknowledged before me
this 1S day of Yk+�`► 20I`t by
The forgoing instrurrie�nt�was acknowledge $ before me
this f day of OW-4' 20($ by
Edward J. Heritage
Edward J. Hertage
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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