HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r /�
Date: Permit Number:
2 ..'
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
.61
PROPOSED IMPROVEMENT LOCATION
,:.
Address: 207 N 39TH St. Fort Pierce, FL 34947
Legal Description. Wilbuwe BLK 6 S 30 FT of Lot 16 and N 45 FT of Lot 17 (0.21AC)(OR 3808-439)
Property Tax ID#: 2408-603-0071-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Samuels,#9083119
Setbacks Front Back: Right Side: Left Side:
x10
DETAILED DESCRIPTION OF WORK N E S
Installing-2 aluminum panels and 1 accordion shutter.
CONSTRUCTION 1NFORM,4TION: "
Additionalwork toe performed under this permit—check ha that apply:
❑HVAC Ei Gas Tank Gas Piping Shutters Windows
/Doors
g Doors11 ❑ /
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,215.00 UtilitieslnSewer OSeptic Building Height:
OWNER%LESSEE. CONTRA' TOR
Name Samuels Investment Properties,LLC Name: Boysie Ramdial
Address:PO Box 814358 Company: The Home Depot At Home Services
City: Hollywood State:FL Address: 674 S Military Trail
Zip Code: 33081 Fax: City: Deerfield Beach State:FL
Phone No.(786)246-7121 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379-1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County.License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
:e I
SUPPLEMENTAL 44
CONSTRUCTION LIEN LAW INFORMATION
pp MORTGAGE COMPANY: , e _Not Applin
DESIGNER/ENGINEER: _Not Applicable cable
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.
Signature of Ow r/Agent/Lessee Signature k Contra ctor/Licen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgd g instrument was acknowledged before The forgoing instrum.eqLwas acknowledged before me
me this day of / 20 16 by this 3 day ofccr.s— 20 16 by
Boysie Ramdial Boysie Ramdial
(Name of p so acknowled i g) (NamWes ckn;,/Ing
41
(Slgnatu#6V-LvaN Pu to of Florida) (Si f Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 3 (Seal) Commission No. 4"' (Seal)
mot N ARY 4x Amber Ranker
s NOTARY PUBLIC
STATE OF FLORIDA OF FLORIDA
Revised 07/15/2014 C0mrn#FF970M Coimm#FF970934
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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