HomeMy WebLinkAboutBuilding Permit Application OLZSZ 0/6 OBJ -SiuCi 2 Pounbl
&ALLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: RP O-5
•
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 x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 2900 N A1A#8-B, Fort Pierce FL 34949
The Atrium On The Ocean Unit 8-B OR 1230-383: 1561-2769
Legal Description: � )
Property Tax ID#: 1425-702-0026-000-1 Lot No.
Site Plan Name: Block No.
Project Name: McCaffery
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
A�c_a►� b ,v s lity� �-tr
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
ElHVAC Ei Gas Tank. Das Piping Shutters Windows/Doors
0 Electric 0 Plumbing Sprinklers 0 Generator E] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ J �-�J Utilities: _Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR'; .,
Name Dan&Claudia McCaffery Name: Edward J. Heritage
Address:2900 N A1A.#8-B Company: Folding Shutter;Corporation
City: Fort Pierce . State:FL Address.;7089 Hemstreef Place
Zip Code: 34949., Fax:.�la .. City:''-WesfPalm,Beach. State:FL
Phone No.772'538 0511 Zip Code: 33413 ,.y;; Fax: 561 640 8204
E-Mail:n/a Phone No. 561 683 4811
Fill in fee simple Title Holder on next page( if different E-Mail: Info@FoldingShutters.Com
from the Owner listed above) State or County License: $CC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
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 orrecordin our Notice of Commencement.
_Signa ure o Owner ent affDd ure>afuCort "` " se Holder "3R'n ti{ rf"i x
COUNTY ATECIF OF
FAtA4. ��� STATE OF FLORIDA ` 1�
COUNTY OF �(
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ',)day of k 20 Eby this a5ay of 20 lk_by
�dwar�f T, l�erifan2 diva rd J He,662oiz
(Name of person acknowledging (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.F-r (Seal) Commission No. � 7PAMELANS
�tpRY PAMELA A.EVANSo� o� NOTARY PUBLIC
std eo NOTA S;
EFLORIDA
STATE OF FLORIDA Comm#FF150967
Revised 07/15/2014 Wsi �=Comm#FF150967 's�MCE 1g�0 Expires 10/11/2018
MCE 19� ExoIr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS