HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��ay `�� Permit Number: (3
u RECEIVED FEB 24 2016
nxN Building Permit Applicati®n
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
PERMIT APPLICATION FOR: Shutter
PROPQSEQ;Ii1lf PRtJVEfViENT;L(?CATIC?N
Address: 2502 Hollyberry Lane,Palm City,Fl.
Legal Description:HARBOUR RIDGE PLAT NO 1 LOT 10
Property Tax ID#:4436-601-0010-000-9 Lot No.10
Site Plan Name: Block No,
Project Name:NIr Jack&Charlot Aleyering
Setbacks Front Back: RightSide: Left Side:
ETAILTION ,OF tlVC7RK
: .-
Hurricane Protection Installation -24 openings
CC?N5TRUCTION :INFORMATION
_ 7
ACICl
. , itiona wor to a er orme under this permit—checK all^. apply:
❑HVAC _Gas Tank Gas Piping X Shutters ®Windows/Doors
11Electric ❑ Plumbing Sprinklers ®Generator ®Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 11,401.04 utilitiesSewer Oseptic Building Height:
OWN ERjLE55EE CONTRACTOROWN
Name Mr Jack&Chariot Meyering Name:Robert Altino
Address: 2502 Hollyberry Lane Company:Galeforce Hurricane Shutters,ine.
City: Palm City State: Fl. Address:7636 South Federal High'svay
Zip Code: Fax: City:Port St.Lucie State:Fl
Phone No. Zip Code: 34952 Fax.772-621-81.59
E-Mail: Phone No. 772-215-2137
Fill in fee simple Title Holder on next page if different E-Mail: raltinona ifssf.com
from the Owner listed above) State or County License:CBC1251430
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
S,IJPPLEMENTAL CaNTRUCTIt�N LIEN LAW INFQRN9RTI(7h1 £,
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 holderto 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 wo ecording your Notice of Commencement.
Sign re of Ow r/Agan L Signature of r er
OF FLORIDA TE OF FLORID
COUNTY OF S LUG 1 COUNTY OF 'Sr-LU c %A,
The forgoing instrument was acknowledged efore me The forgoing instru a was acknowledged before me
this day of �-e� 20 1% by this.day of V� ,20 p by
tt a b k4- A 1z'\ \ �''t v.i�s "� 6 b"t f -Ir v\a
(Name of person acknowledging) (Name of person acknowledging}
(Signature of Notary Publi State of Florida} (Signature of Notary P lic-State of Flon s
VEN `0 a
Personally Known OR Pro aced dent i EN i�d ersonally Known rode 1 ti6n2
Type of Identification Produced y► NP rage° ,a.1�3 a of Identifi iaduced , cam yes t ASa�
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Commission Na_- „�,,, ��I m. °#� Nota fission No.
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Revised 07/15/2014 '''q'E •F s„ �"�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS