HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC L INFO UST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: Shutter
PROP ISED'INIPROVEMENT LOCATION:
Address: 4949 N AIA Apt 182 Fort Pierce, FI 34949
Legal Description: Breakers Landing unit 182.(or 1912-464)
Property Tax ID#: 1414-602-0069-000-3 Lot No.
Site Plan Name: Breakers Block No.
Project Name: Breakers
Setbacks Front All— Back: Right Side:�Left Side:
DETAILEDbDES:CRIPTION OF U1/OR 3
f
Install hurricane shutters - Alumin files on first floors and Accoridans on the second floor
CONSTRUCTION INFORMATION
Add itiona work to be performed un er t is permit–check all that apply:
HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ ,�SD ��' Utilities:
Cost Building Height:
F
OVU=NER%LESSEE CO:NTRACTOR.,
Name Mary Loj Name: Gary Whigham
Address:4949 N A1AApt. 182 Company: South Florida Aluminum Products
City: Fort Pierce State:_ Address: 4807 South US !
Zip Code: 34949 Fax: City: Fort Pierce State:FI
Phone No. Zip Code: 34982 Fax; 466-1074
E-Mail: Phone No. 466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail: sfapbooks@soflalum.com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTI 0N, LIEN LAW IN'FORMATI0N
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 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 lende or an attorney before
commencing work or_peigoing your Notice of Commencement.
_ s
_Signature of Owner/Lessee/Agent Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint COUNTY OFS,yntLucie
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this-.25 day of \ 20 J5by this_2R5 day of 20 5 by
Gary Whigham 1 Gary Whigham
(Name of person acknowledging) (Name of person acknowledging)
( urotary 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. FF074898 2�t."''+e�% S05RINABUTLER Commission No. 1`1`074898
MY COMMISSION#FF 074898 r : :BBUTLER
* * * * MY COMMISSION#FF 074898
EXPIRE
N S:December 8,2017
TRAP p4gQ+ an ru u gp Atllry Services - "l4 pP`' ®OIIdOtI ThrUB tNota 5ervlces
RES:DeeembeF 8,2017
Revised 07/15/2014 a1` a u*Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS