HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE IINNFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /i r
Date: @J U Permit Number: (2)00(0 MV6
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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 X
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT.LOCATION:
Address: 6807 Wadsworth TerPort St Lucie, FL 34952
Legal Description: OLEANDER PINES BLK 1 LOT 33 (0.23 AC) (OR 1552-2673)
Property Tax ID#: 3415-705-0034-000-4 Lot No.33
Site Plan Name: Block No. 1
Project Name: Hurricane shutters (accordion type)
Setbacks FrontX Back: X Right Side: X Left Side: X
DETAILED DESCRIPTION'OF WORK:
Hurricane shutters (accordion type)
CONSTRUCTION INFORMATION:
Additional work to (ever orme under this permit—check a appy:
11HVAC Gas Tank 0Gas Piping �Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5i N 0 0 r Utilities: Sewer Septic Building Height: 30'
OWNER/LESSEE: CONTRACTOR:
Name Rebecca S &William P Happ Name: Edwing Sosa
Address:6807 Wadsworth Ter Company: Edwing's Unlimited Shutter Services, LLC.
City: Port St Lucie State:FL• Address: 460 NW Concourse Place#16
Zip Code: 34952 Fax: City: Port St. Lucie State:FL.
Phone No.(772)240-1163 Zip Code: 34986 Fax: (772)905-9431
E-Mail: Phone No. (772)370-0766
Fill in fee simple Title Holder on next page(if different E-Mail: ed@edsunlimitedservices.com
from the Owner listed above) State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCCTION LIENLAW INFORMATION:,.
DESIGNER/ENGINEER: x 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: x 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
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Cont or/License Holder
STATE OF FLORIDA STATE OF FL
COUNTY OF Si• L u u act
COUNTY OF ;L U-J,
The forgoing instrument was acknowledged before me The forgoing instru nt vias acknowledggd before me
this 10 day of 20 LLby this �d day of d 20 �by
P_ Jqn
(Name of person acknowl d ing) (Name of person acknowledging)
Ck-.,,-CA Cr � A b6A " �0(t�
(Signature of Notary Public-State of Florida) (Signature of Notary Ppblic-State of Florida)
Personally Known ersonally Known X OR Pr d ed I enti tation
„'��„
Type of Identification Pr u �P�•�_ te-of�arida ype of Identification Produced
Commission No. I" 9 t om Ission M FF 962932 ommission No.
%•',;e My ed .Expires May 29,202 �•to� ,,8, L .CAUDULL0
°;� Bonded through National Notary Ass _°� «*� Notary Public-state of Florida
N,FOF FL p`0 My Comm.Expires Sep 25,2019
Revised 07/15/2014 `' ,M0 Bonded through National Notary
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