HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �{
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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
PERMIT APPLICATION FOR: Shutter
Address: 8281 BUSINESS PARK DR. PORT ST. LUCIE FL. 34952
Legal Description: ST. LUCIE BUSINESS PARK, LOTS#5 
Property Tax ID#: 3426-702-0006-000-4 Lot No.#5 
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALL SIX ROLL UP SHUTTERS ON THE FRONT GLASS AREA..
A� ditional wore toJ�e� ertormec —
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HVAC 11 Gas Tank E]Gas Piping V Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator g Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 14000.00 Utilities: Sewer Septic Building Height:
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Name RIVER PARK MC PROPERTIES LLC. Name: VAUGHN HOSKINS
Address:8425 S. US HWY 1 Company: V H EXTERIORS INC
City: PORT ST. LUCIE State:FL. Address: 543 NW WAVERLY CIRCLE
Zip Code: 34952 Fax: City: PORT ST. LUCIE State:FL.
Phone No.561-667-3497 Zip Code: 34983 Fax: 772-871-2567
E-Mail: 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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE Not Applicable
Name: ENGINEERINGLLC Name:
Address:11835AUTUMN CREEK DR. Address:
City: RIVERVIEW State: FL City: State:
Zip: 33569 Phone: 800-432-2204 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 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 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
commencin ork or recording our Notice of CommenceWent.
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_Sign'd ure of Owner/Less /Agent Signature of Contra r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCI E COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgedbeforeme
this VII day of cA 20 NG-by this°\ day of_ q p S� —20 �P by
UC> 0' ►', kVNS �joblziv
(Name of person acknowledging) (Name of acknowledging)
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(Signature of Notary P lic-State of Florida) }J z,.+7'"" (Signature of Notary Public-State of Flo 'd Y GEppsN�cta\e of F�°2 6
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Personally Known OR Produced l nrttlf Si<�1 Personally Known P. ecJ 1deYft�iG)naiob'tiP`S5a� sn.'
Type of Identification Produced �"f L-.✓- ec Type of Identification Produc .dZ7Ot
r�-=My ss�on Notary
F3� No G f ,Commission No.
Commission No. ", o on ��6$1ro�,,, Eoc4.:. S��R.-�•.
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS