HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUIT BE OMPLTED FOR APPLICATION TO BE ACCEPTED 1
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 X Residential
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:-
Address: 4180 N Al #1301 B, Fort Pierce, FL 34949
Legal Description: Oceanique Oceanfront(or 2752-849) Bldg b Unit 1301 (or 3564-2624
Property Tax ID �� � � No.
Site Plan Name: Block No.
Project Name: Soule, Garrett
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK:
Installation of one Nautilus Roll Shutter (Front Entry)
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,725.00
Utilities: Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Garret C Soule Name: James Silvia
Address:4180 N A1A#1301 B Company: Palm Coast Florida Commercial Dev., LLC
City: Fort Pierce State: FL Address: 505 Beachland Blvd.,#2
Zip Code: 34949 Fax: City: Vero Beach State-FL
Phone No. Zip Code: 32963 Fax: 772-299-1958
E-Mail: Phone No. 77-299-1955
Fill in fee simple Title Holder on next page(if different E-Mail: Giovanna@paimcoastshutters.com
from the Owner listed above) State or County License: CBC 1258218
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: .
DESIGNERJENGINEER: 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: p;
Zi 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.perrriit 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 Associatiohi and review.your deed for any restrictions which mayapply.
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.BuildingCodes and"St. Lucie County Amendments.
The following building permit applications,are exempt from undergoing a full concurrency:review:room additions,
- accessor structures swimmin
y g pools,fences,walls;signs,screen rooms and accessory usesto 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.
S
_Signature of 0"W&/Lessee/Agent Signaturd of Cont or/License Holder
STATE OF FLORIDA STATE OF FLORIDA-
COUNTY OF.: : 7- )9y f -�Plzr_/ t/&;'t.. COUNTY OF :
The forgoing instrument was acknowledged before me The forgoing:instrument was acknowledged before me
this 14 day of ;�20/fib thisJL day of A)D OG—M/��'� 20 S'b
y . .. v v.
V
-(Name of person acknowl gin
g Name of person ac Ing)
_.. _.
(Signature of Notary ublic-State of Florida} (Signature of Notary Pu ic-Sta a Florida)
rsonally:Know i ica ion ersonall p
T e Fudic stare of Fiofia U.. �4b �i4�tif' ation
yp i icaY n ced wry ype o :Id ibfa .P� � usal
�P Giovan'�°5
My.Commission FF 193077: My Commiss' FF 1930
Commission No, resol126106%1)
Com ss N .orti MEiO 0 112612 0 1 9
Revised 07/15/2014
.. ....
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER :REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COM PLETE
INITIALS