HomeMy WebLinkAboutBuilding Permit Application 8731606
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 3 5 Permit Number:,_ rs 1
'-� ` ` RECEIVED NOV 13 2015
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: 7679 Wexford Way Port Saint Lucie, FL 34986-
Legal
4986Legal Description: RESERVE PLANTATION-PHASE I-LOT 20 (OR 2245-2607)
Property Tax ID#: 3321-801-0020-000-0 Lot No.20
Site Plan Name: Block No.
Project Name: Nall,#8731606
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Installing 1 aluminum panel
CONSTRUCTIQN INF'ORMATLON
�. .
HVAC E _GasTank Gas Piping Shters_ Win
Additional workto ewer orme under tis ermit—c eca �apply:
IL--JI � p g doves/Doors
Electric ❑ Plumbing El Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost.of Construction:$ 1,604.00 Utilities:DSewer 0Septic Building Height: .
OWNER LESSEE CONTRACTOR
Name Carroll Scott Nall Name: Boysie Ramdial
Address:7679 Wexford Way Company: The Home Depot At Home Services
City:. Port Saint Lucie State:FL Address: 674 S Military Trail
Zip Code: 34986 Fax: City: Deerfield Beach State:FL
Phone No.(772)607-3670 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.
SUPPLEMENTNSTRUCTION L
ALCOIEN LAW INFORMATION
a�^
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 lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner Agent/Lessee Signa re of Contractor/License Holder
STATE OF FLORI A I STATE OF FLORIDA /�
COUNTY OF � COUNTY OF 1��
I
The for ing instrum nt wa acknowledged before me The forgoing instrument was knowledged before me
this ITday of 20 15 by this la day of�A,fjfiE'� / 20 15 by
Boysie Ramdial Boysie Ramdial
(Name of p so acknowl in (Name of pers n acFowled:gi
(Si tur of Not ublic-State of Florida) (Si aturf otar blic- tate of Florida)
Personally Known X OR Prod uced.ldentification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NoG�156 T,� (Seal) O�,�f�mission No. �Ea( SG`I!� (SealI,1
V AMBER FL NYlC1[ 1XMBER FLENKER
NOTARY P BLIC NOTARY PUBLIC
STATE OF
Revised 07/15/2014 ' Comm#EE215692 Comm#EE215692
`III e� Expires 7/1112016 walle Expires 7/11/2016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW. REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS