HomeMy WebLinkAboutBuilding Permit Application (2) 8188609
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDJ `,, �6�Q�
Date: � l�1 a Permit Number. l�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION
Address: 4751 S Indian River Dr. Fort Pierce, FL 34982
Legal Description: 36 35 40 FROM INT OF E LI OF FECRR AND N LI OF ELKO SiD, TH RUN NWLY ON RR 75 FT FOR POB,
TH E TO RIV,TH NWLY ALG RIV 108 FT,TH WLY 340 FT TO RR,TH SELY ALG RR TO POB-WITH RIP RTS-LESS RD-(OR 3492-209)
Property Tax ID#: 2436-331-0006-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Curtiss,#8188609
.Setbacks Front Back: Right Side: Left Side:
i + 5
DE-TAILED DESCRIPTION OF WORK
Installing 20 hurricane fabric panels
CONSTRllCTION INFORMATION r
Additional work to be pertormed under tispermit—check all appy:
❑_HVAC Gas Tank Gas Piping Shutters Windows Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,765.00 Utilities: Sewer[]Septic Building Height:
,,,OWNER/LESSEECONTRACTOR;
Name William and Rhonda Curtiss Name: Boysie Ramdial
Address:4751 S Indian River Dr. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34982 Fax: City: Deerfield Beach State.FL
Phone No.(636)614-8971 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page( if different E-Mail:
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SIJPPLEIVIENTALCONSTRUCTIQN LIENLAW INFORMATION+ g' ,
DESIGNER/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:
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 thepermit 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 our Notice of Commencement.
Signature of Ow er/Agent/Lessee Signaturr6 of Contractor/License Holder-
STATE
olderSTATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of J'1'l otM 20 15 by this S day of 20 15 by
Boysie Rarridial 1 Boysie Ramdial
(Name of per le Ing) (Nam erso owled '
( ' to N ary Public-State of Florida ) (Signatur ary Public-State of Florida )
Personally Known x OR Produced Identification .'P sonally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced S
JONATH0I4 ALIEN TH joNATHON ALL
EN Commission No. NOTAA.epUBUC Commission No. ,4 No-of
rt)pUBLIC
`' -+STATE OF FLORIDA o _STATE OF FLORIDA
5234'
Revised 07/15/2014 EE. Oe Expires 9!1812017 g10 Expires 911812017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS