HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 6/3/2016 Permit Number:
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�L RECEIVE®
Building Permit Application
Planning and Development Services ��� ®( '�Ots
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (7i2)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
e , s r .+ "R3' t Y� ."
3;PROPhOSED IMPROUEM, I\1T LOCATIC)Nw ,xx .k, .. x .. ..
Address: 5510 Cassia Drive Fort Pierce, FL 34982
Legal Description:INDIAN RIVER ESTATES Unit 09-bik 72 Lots 16 and 17(map 34/12N)(OR 1724-1439: 1990-2247;3518-1965)
Property Tax ID#: 3402-610-0074-000-5 Lot No.
16, 17
Site Plan Name: Block No. 72
Project Name:
Setbacks Front ack: Right Side: Left Side:
yf .nr C�, C t ..,i Z=,:` '� xxk� '� � Y �' 'rE�' ft � `�2`yr of �T'.rr�i v �k':
DETAILED DESCRIPTION OF WORKa
AccordioI n Shutters e)v .a w.�r�1�a�S v� Floor
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GONSTRiCTtON INFORMATION. 4:
Additional work toe e orme under this permit-c ec a ply:
HVAC ED Gas Tank ❑Gas Piping Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers 0 Generator Roof
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Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6!!, Utilities: Sewer D Septic Building Height:
C?SWNER/LESSEEr Qi
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Name Bram M.Broder(LF EST) Name: Gary Whigham
Address:5510 Cassia Drive Company: South Florida Aluminum Products
City: FortiPierce State:FL Address: 4807 So US Hwy 1
Zip Code 34982 Fax: City: Fort Pierce State:FL
Phone No. -777-—4"-047i!S Zip Code: 34982 Fax: 772-466-1074
E-Mail:-IV L/1, Phone No. 772-466-0913
Fill in feesimple Title Holder on next page(if different E-Mail: sfapbooks@soflalum.com
from the'Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENT L CQNSTRUCTIC?N IIE LAW INFORMATION �
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:
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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 osted on the jobsite
before the fir t inspection. If you intend to obtain financing, consult with I er or an attorney before
commencin work or.FKordin our Notice of Commencement.
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-Signature;of r/Lessee/Agent Signature of Contractor/License Holder
STATE OR FLORIDA STATE OF FLORIDA
COUNTY OF saint Lucie COUNTY OF Saint Lucia
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3rd day of June 20 16 by this 3rd day of June 20 16 by
Gary Whigham Gary Whigham
(Name of person acknowledging) (Name of person acknowledging)
(Signatur ;of Notary Public-State of Florida) Signature f Notary Public-State of Florida)
Personally Known.x OR Produced Identification Personally Known x OR Produced Identification
Type of Id 'nit Fon ARY Type of Iden ifc{ s ro MATO
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NN MATONTI 'i My COMMISSION '
Commissi ' ' - My COMMISSION#10999138 Commission
%Ya ' EXPIRES January 24.2020 !" EXPIRES January 24.2020
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Revised)07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS