HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /4
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Date: OF 1� Permit Number:
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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 IMPRCl1/EMENT LOCATIQN
Address: 9529 LAUREL WOOD CT. FT. PIERCE
Legal Description:
MONTE CARLO COUNTRY CLUB, UNIT THREE, LOT 238
Property Tax ID#: 1327-701-0058-000-0 Lot No.
Site Plan Name: THRUMAN Block No.
Project Name: THRUMAN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRII?TION='OF 1NORK
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INSTALL ONE ACCORDION SHUTTER ACROSS THE WHOLE BACK PORCH AREA.
CONSTRUCTION_lNFORl1/IATIQN
Additional work to e e orme under tis permit—check a appy:
HVAC 11 Gas Tank Gas Piping �_Shutters Win6
❑ p g � doves/Doors
Electric ❑ Plumbing Sprinklers E Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2450.00 Utilities:nSewer Septic Building Height:
OWNER/LESSEE " CONTRACTOR. :':' F
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Name EDNA THRUMAN Name: VAUGHN HOSKINS
Address:9529 LAUREL WOOD CT. FT. PIERCE Company: V H EXTERIORS INC
City: FT. PIERCE State:FL. Address: 543 NW WAVERLY CIRCLE
Zip Code: Fax: City: PORT ST. LUCIE State:FL
Phone No.678-316-0487 Zip Code: 34983 Fax: 772-871-2567
E-Mail:NSA Phone No. 772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail: VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License: 21579
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SIIPPLEMENTALu,CONS mutflUN 1
EN:i:AW IN.FORMAt!
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: TOWN&COUNTRY SND. Name:
Address:400 WEST MCNAS RD. Address:
City: FT.LAUDERDALE State: FL. City: State.
Zip: 33309 Phone: 954493-8551 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 thepermit 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 pians,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 youpaying twice for
improvements to your property.A Notice of Commencement must be recorded and pos don the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an att rney before
comm work or recording our Notice of Commencement.
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_Signature of ne j sseeJAgent Signature of Co ractorjLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The fo going instrum t w s acknowled e before me The fo going instrum�acknowledged before me
this May of y�_ _ 20 y this_ ay of 20 LE by
4M�Kiin.S k32D L.6 C-,4 �' t' In
(Name of person ack o ledging) (Name of per h,a,kn wle ging)
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tate of Florida} (Signa ur .
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s a .;kno ub! - � P oduced dentification rsonally K o lr ��� �
Florida` ED Id �'cu
Expire$ °rtdtti,r�r•�y SVa lg
CommissioriN'a' 1j9rNati. y27,2019 (Seal) Commission No. r" gal)
Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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NITIALS