HomeMy WebLinkAboutBuilding Permit Application ALL APPtLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��
Date: 6 Q® � ��1� Permit Number: �&o&
JUIN 2 0 1016
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (i 72)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
Address: $205 S. INDIAN RIVER DR. FT. PIERCE FL.
Legal Description: INDIAN RIVER DR. LOT 3
Property Tax ID#:
3518-423-0001-000-5 Lot No.3
Site Plan Name: Block No.
Project NI me:
Setbacks) Front Back: Right Side:T Left Side:
.........................................................................................................:..:,::....:....:.......................:....:: ............................... ................................................:.......................
INSTALL 8 - ACCORDION SHUTTERS AND 2 - BAHAMA SHUTTERS. ALL ON THE 1ST.
FLOOR.
e ._.ch eC
Additional
work
toeer�ormeunder i5permit—
Prmit a :. ::.:::
HVAC Gas Tank []Gas Piping apply:V_Shutters a Windows/Doors
EI I ctric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4000.00 Utilities: Sewer 0Septic Building Height:
' tt'1". .
IX
Name CALEB SHARP Name: VAUGHN HOSKINS
Addressi.8205 S. INDIAN RIVER DR. Company: V H EXTERIORS INC
City: FT. PIERCE State:FAddress: 543 NW WAVERLY CIR.
Zip Code: 34982 Fax: City: PORT ST. LUCIE State:FL.
Phone No.772-595-5984 Zip Code: 3.4983 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
.,Ifevalue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER,/ G pp MORTGAGE COMPANY:........ _Not Applicable
Name: TOWN&COUNTRY IND. Name:
Add ress:d00 MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone: 54-970-9999 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 inlconflict 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 accordai ce 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 wit er or an attorney before
commencing work or recording our Notice of Commencement.
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_Sign tui a of ner/Lessee/Agent Signature of Con act icense Holder
STATE OF FLORIDAo STATE OF FLORIDA a
COUNTY OF S�1.,1 C, 4. COUNTY OF S t L'J C i Q
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledges)before me
this 1l day of N kl cN Q_ 20'1110 by this 111 day of I V'N`1� 20 1 by
�(vi tv Aosk°its VA'414 flnskil4s
(Name of person acknowledging) (Name of person acknowledging)
(Signa ' otaar�y Public-State of Florida) (Signat NotaarryQ Public-State of Florida)
Personally Known+ V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced` Lig
Type of Identification Produced//
Commission No.ff k523M (Seal) Commission No. ... b Seal
.�;r'rU'' JEAN RALPH GACHETTE
JEAN RALPH GACHETTE a3> k' IWM
MY COMMISSION#FF 152261 *: 8
EXPIRES:August 18,2018
Revised 07/15/2014 EXPIRES;August 18,2018 , BnndodfhroNotoryPublUndepwdte
rs
� Bonded Thru Pulo Un 0hters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
COMPLETE
INITIALS!
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