HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r
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 1��!ROVEMENT LC}CATION � �� � Y
Address: 115 SE SO�CLZ 6%k_
Legal Description:0,AVta'Q&(,l°=Unit 5 BLK 50 LOT 40
Property Tax ID#. 3419-540-0263-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION }E WO'
x 1 �.
5
Install (3) Accordion Shutters
CgN5TRU7TiN INFORMATION
Additional work toe e orme un,ert ispermit—c ec a appy:
HVAC Ei Gas Tank []Gas Piping Shutters ❑Windows/Doors
Electric ❑ PlumbinE I ISnrinklers Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
0
Cost of Construction:$ 00 l Utilities: _Sewer 0 Septic Building Height:
O111lNER/LESSEE Kyr s CONTRACTOR' ,
Name Kismati Simone Name: Michael ODonnell
Address: 115 SE Solaz Ave Company: ODonnell Impact Windows
City: Port St Lucie State:FL Address: 6402 SE Federal Hwy
Zip Code: 34983 Fax: City: Stuart State:FL
Phone No.772-215-6955 Zip Code: 34997 Fax: 888-833-0167
E-Mail: Phone No. 772-408-0200
Fill in fee simple Title Holder on next page(if different E-Mail: rcodonnell311@gmail.com
from the Owner listed above) State or County License: CRC1331273
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Sl1?RPLEMENTAL�`CO,N5TRJCTION LIED LAIN INFORMATION aa� ��� f r � �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 maks will authorize the perAM616e'A5 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 withouur Home Owners Association and review your deed for aCY r�estrictions which may apply.
VO 9 93 V C[ R-RACFEZ
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.
i
,. s
Signature of Owner/Lessee/Agent S+gna re of Contractor/License H Ider
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF S} etc-A-J COUNTY OF_ 0:: Lw AA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J—day of ht ZpM b_gr 20 Eby this--L day of J�),f r 1,yn bLr ,20 by
bac- r`iCL A Q y\r1Q�. I ��� r7ry�-A ��il
n, l n c-�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known _ ,• ••�,V�a uce en I Ica Ion ersonally Known OR., , rice en
"a�'''- GALE FULLS a of Identification Prod e. R e�c=:
Type of Identification Pr dii�ed<' �; yp �' GALE FULLER
MY COMMISSION#FF06455 MY COMMISSION#FF064558
•;r.. tri .:19.. .
Commission No. ',re'`o?.' EXf�B��o October 20,2017 ommission No. '..'Eo. off. EXI(tb18�d October 20,2017
14071 398.0153 FloridallotaryService.com (407)398.0153 Flofidallotaryservice.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS