HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL{APPLIIC__ABLE INFO MUST BE COMPLE',, 41WAPPLICATION TO BE ACCEPTED- o
Date: ��L� Permit Number: f
SCANNEL)
BY
• e St. Lucie County RECEIVED
Building Permit Application SUN 04 2019
Planning and Development Services
Building and Code Regulation Division Permitting
Lude cent
County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 7454 Commercial Cir.
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK -UNIT TWO- BLK A LOTS 21 AND 22 (1.55 AC) (OR 3396-418
Property Tax ID #: 1335-802-0006-000-6 Lot No. 21 & 22
Site Plan Name:
Project Name: PRODIM USA
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF5 ACCORDION SHUTTERS
Block No.
CONSTRUCTION INFORMATION:
rtlona wor to e erformed uncierthiS permit- c ec a apply:
OHW Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
6,924.21
S Ft. of First Floor: _
Utilities:llSewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PRODIM USA LLC
Name: Robert McNally
Address: 7454 COMMERCIAL CIR
Company: Palm Coast Shutters & Aluminum Products, Inc.
Address: 675 4th St.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-299-1958
Phone No. 772-299-1955
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: GiovannaCa)palmcoastshutters.com
State or County License: CBC1262166
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI
EN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: N/A
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commen en . 1�7 � '-7
�L'C&
SIgndur6 of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor I r
STATE OF FLORID
STATE OF FLORIDA
,//1
COUNTYOF `Y�iCII^�yl K.�,%Ar
COUNTYOF INDIAN RIVER COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this.dayof n-)CxV0.h 20n by
this,;3odayof�20 19 by
Hilalry Hayes
ROBERT MC NALLY
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identificatio
Produced _](\Jl. ( ?)I 165'�\S_`iP40LO
Pao
Produced —
(Signature of Notary litr-Sta emf-Aorid
ida )
6RIANNA ZEROA
Commission No. - �l .�'`_',pLry Pu(Ealgtate of Flarltla
FF 975764
Notary Publlo State of Rb
C j N6lovanna Orausal (Seal)
Gze7a96
_
q ; •, Commissloa #
a 7, 2019
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Expires Otl78rto23
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Rev.8/2/17