HomeMy WebLinkAboutBuilding Permit Application Lucie- n-t`
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 151 15 Permit Number: I S�G-daSCS
RECEIVED JUN 151015
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: 854 SE CORTO TERRACE, PORT SAINT LUCIE FL 34983
Legal Description: RIVER PARK-UNIT 7-BLK 65 LOT 5 (MAP 34/28S) (OR 3699-2914)
Property Tax ID#: 3419 550 0044 000 5 Lot No.5
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Site Plan Name: ZL-69S Block No. 65
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Project Name: SCHLOERB. fipJa;� �i3LIAN IIe�
Setbacks Front Back: Right Side: Left Side:
C®NSTFtl1CTIONIiNF�®'RIVITI`®N
Additional work toe e orme under this permit—check a appy:
HVAC EiGasTank E]Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ _a�G� - Utilities: _Sewer Septic Building Height:
®W INERS/ SSEE: - CO(VTRP► T R• s
Name GARY&.JUDITH SCHLOERB Name: CHARLES J.STYPULKOWSKI
Address:854 SE CORTO TERRACE Company:.FOLDING SHUTTER CORPORATION
City: PORT SAINT LUCIE State:FIL Address:-7089.HEMSTREET PLACE
Zip Code: 34983;. Fax City: WEST PALM BEACH State.FL
Phone No.772 877 3185. Zip Code: 33413 Fax: 561 640 8204
E-Mail: Phone No. 561 683 4811
Fill in fee simple Title Holder on next page (if different E-Mail: INFO@FOLDINGSHUTTERS.COM
from the Owner listed above) State or County License: SCC131150802
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPT ELEMENTAL CONSTRUCTIONS LIEN LAW INFORMATION. k} , XX404
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 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 our Notice of Commencement.
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nature 'ner• nesse Ent Sig of Co tr c r Llce" a rL er.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this/1 day of 20 ��y this // day of �yx.J6-- 20 IS—by
CHARLES J.STY+ULKOWSKI CHARLES J.STYPULKOWSKI
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.r—Fi (Seal) Commission No. 3'0cr'67 (Seal)
PAMELA A.EVANS
o 'Sly s's0 NOTARY PUBLICOtPAMELA A.EVANS ARY AS
STATE O <
o FF150967 -STATE OF FLORIDA
Revised 07/15/2014 comm# s o
sig, 9"I0 Expires 1011112018 �. Comm#FF150967
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