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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-r All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ,6 r SCANNED Permit Number: fq(IQ-Da( n BY �qp-M � _i ff -1 St. Lucie Counn Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 >U� RecFliFD Building Permit Application S �4Cg peed e �0c finenC Y Commercial N� Residential PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: 3200 N Highway A1A Unit 1110 Address: 3200 N Highway A1A Unit 1110 PropertyTax ID #: 1425-600-0106-000-3 Site Plan Name: Project Name: Barbara Grange Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I "6—it411 00.0 Shu CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping ✓Shutters -Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ "'?8— Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Barbara N Grange Name: Edward J. Heritage Address: 3200 N A1A Unit 1110 Company: Folding Shutter Corporation City:_ Hutchinson Island State: _ Zip Code: 34949 Fax: NIA Phone No. 740-819-0537 Address:1862 Or Martin Luther King Jr Blvd Cify:'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 required. 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." I ha uteofOwn' _ e-asAgentforour 'er ignatureof'Conlr Y/Eice - er' STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Palm 9aadi COUNTY OF Ph Beach The for�oing instrument was acknowledged before me this2 day of Suu� 20-4by The forgoing instrument was acknowledged before me thisa( dayof 20/Jby Edward J. Heritage Edward J. Heritage Name of person making statement. Name of person making statement. Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification Type of Identification Type of Identification Produced Produced ®® // (Signature of Notary Public -State of Florida) ,mot P" Pamela A. Evans (Signature of Notary Public -State of Florida ) Commission No.U�'��?� °'"'` to OTARYPUBLIC _ 'r o�p A Pamela A. Evans Commission No.67_&A( �? S9 °' }NARY PUBLIC sk;;;. o TATE OF FLORID r, Comm# GG262789 aQ =STATE OF FLORID o Expires 10/11/20 2 sNce10 i 10/11/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.