HomeMy WebLinkAboutBuilding Permit Application 6Z29ZOWN R zV61,e
ALL APPLlCqBLE INF MUST BE COMPLETED FOR APPLICAION TO BE ACCEPTED
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 Comrbercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6018 ADONIDIA PLACE,FORT PIERCE FL 34982
Legal Description: PALM GROVE SID BLK L LOT 32(0.16 AC)(OR 3760-591)
Property Tax ID#: 3 410 503 0370 000 6 Lot No.32
Site Plan Name: Block No. L
Project Name: MCNALLY
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
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CONSTRUCTION INFORMATION:
Additional work tobe performed under this permit—check all thal apply:
OHVAC ID Gas Tank ❑F ]Gas Piping F-VIShutters F Windows/Doors
'nElectric M Plumbing OSprinklers �Generator 13 Roof
Total Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ -2 Utilities:F1_Sewer r_1 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name THOMAS F.MCNALLY JR,&LINDA MCNALLY -"Name: EDWARD J.HERITAGE
Address:6Q18 ADONIDIA PLACE Company: ,FOLDING SHUTTER CORPORATION
I Y: FL
FORT*PIERCE State: Address:.7,089 HPMSTREET PLACE
WEST PALM Zip;Code;.34982, State:FL
Fax: city.
Phone No.772 460 7810 Zip Code: 33413 Fax: 561 640 8204
E-Mail: Phone No. 561683 4811
Fill in fee simple Title Holder on next page(if different E-Mail: iNF-O@FOLDINGSHUTTERS.COM
from the owner listed above) State or County License: SCC1 31151041
uc
If value of constr ti on is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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 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
_Signature of-Owner Les nt 5 Signature-of-Contract ce Ider -
STATE OF FLORIDA STATE OF FLORIDA D
COUNTY OF14�tA� �t cel COUNTY OF T ,I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I(day of {tit AAjt-'1 20 tC by this 11 day of Ok.+4lL 20 /C by
EDWARD J.HERhAGE EDWARD J.HERITAGE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced S Type of Identification Produced
V,,,Q1R14sPAMELA A.EVANS
Commission No.FFlSo9&? a� )NOYPUBLIC Commission No. a �I)STATE OF FLORID � NOTARY PUBLIC
Cmm#FF150967 0 STATE OF FLORIDCE 19 Expires 10/11/2018 0<COMM
Revised 07/15/2014 INCE�9� Expires 10/11/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS JI