HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: z�=��—�C.� ' P^rmit Number:
SCANNED
BY
St. Lucie County RFc
Building Permit Applicatiorre
Planning and Development Services sl 't�179 1p�9
Building and Code Regulation Division L"Cle6
4F04
2300 Virginia Avenue, Fort Pierce FL 349B2 0411)Phone: (772) 462-1553 Fax: (772) 462-1578 CommercialResidential
PERMIT TYPE:SHUTTERS
PROPOSED IMPROVEMENT LOCATION: r J-
Address: 3209 S Lakeview Cir 8101, Fort Pierce, FL 34949
Property Tax ID #;1425-605-0013-000-9 Lot No.
Site Plan Name: Block No.
Project Name: James Bennett
DETAILED DESCRIPTION OF WORK:—
Installation of Hurricane
CONSTRUCTION, INFORMATION:
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: Sq. Ft. of First Floor: _
Cost of Construction: $ 6,533.29 Utilities: —Sewer _Septic
-Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE;-
CONTRACTQR
,,F„ ;
NameJames Bennett
Name: Robert Altino
Address:3209 S Lakeview Cir 8101
Company: Galeforce Hurricane Shutters, inc.
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.219-712-3830
Address:1429 SE Villiage Green Drive
City: Port St. Lucie State FL
Zip Code: 34952 Fax:
Phone No 772-337-6200
E-Mail: jimb@jmbennett tom
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailgaleforcetc@gmail.com
State or County License CBC1251430
• ;-w • • ,Pmu u� moil lb ;-<auu or mare, a e¢LUHUeU nonce of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
u1:5IGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: 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
`WYARNING 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 YOUjIJ-ENDER OgA,N,ISTTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. -
as Agent for Owner
STATE OF FLORIDA
COUNTY OF S V a PA Q
The forgoing instrument was cknowledged before me
this�,day of 0-�,20_1�Zby
2C:)�L
Name of per n making statement.
Personally Known —OR Produced identification
Type of Identificationp�
Produced
v 00' 1A tom\
(Signature of Notary Public- Sta of Florida I
CommissianN VAMHN
=State of Florida -Notary Pub
REVIEWS
STATE OF FLORIDA
COUNTY OF L�r
The forgoinginstrum�ewas �,cknowledgedbefore me
this dal Mp '20q by
- _��---
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification 11
Produced__ � J1 0 �^
(Signature of Notary Public -State of Florida }
PLANS
REVIEW