HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: of
hal ,
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
Address: 18503 Tranquility Base Ln, Port St Lucie
Legal Description.. Aero Acres BLK3 LOT 21 (2.10AC)
Property Tax ID#: 3215-801-0074-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install (14) accordion shutters
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C?NSTRt1CTCQN 0 . ' h
INFORMATI , ¢
Additional work to be nertormed under this permit—check all n appy:
HVAC Gas Tank F]Gas Piping Shutters Q Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers 0 Generator El Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 9052.00 Utilities:0Sewer ElSeptic Building Height:
OiINERjL'EEE
'T
ME
�ONTRACOR M�
.. : . .. ;.
Name Damon Wack,Linda Rubalcava Name: Michael ODonnell
Address:18503 Tranquility Base Ln Company: ODonnell Impact Windows
City: Port St Lucie State:FL Address: 6402 SE Federal Hwy
Zip Code: 34987 Fax: City: Stuart State:FL
Phone No.561-379-8941 Zip Code: 34997 Fax:
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:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SlJpp�EIVIEN�"�1L�CONST(tUCTIC7N LIEN LA1�1/ IN��t�RMATION., � < �`�F�'�� rh'����`���� � ���sr
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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.
s
ignature of Owner/Lessee/Agent Signature o Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF :5-(— LA.=.CF P, COUNTY OF S+ LA-Lo e:
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this of day of 111 Ll V'i.9 20 fQby this day of�v.(7(lltt-r14 ,20 LL
by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary'Public-State of Florida)
Personally Known_6,-' OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identificatio Type of Identification Pr
GALE FULLER a`"e`a" N
?� i p;, GALE FULLER
Commission No. " MY COM#2M)ON#FF064558 Commission No. '`: f" MY C MOIII�SION#FF064558
`•.,.po,�,oP:• EXPIRES October 20,2017 .4t�p�u.`, EXPIRES October 20,2017
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS