HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: �o_I3a 1_(�� Permit Number.:
REMV`L�D JUN 3 0 2D16
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 IIUIRROVEMENT LOCATION
Address: 81 AQUARA DR. JENSEN BEACH FL. 34957
Legal Description: RIVER WATCH BLK 4 LOT 1
Property Tax ID#: 4511-815-0010-000-6 Lot No.1
Site Plan Name: Block No. 4
Project Name: RIVER WATCH
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:"
INSTALL TWO ACCORDION SHUTTERS ON THE BACK OF THE HOUSE.
CONSTRUCTION INFORMATION;
Additional work to be nertormed under this permit—check a appy:
HVAC Gas Tank 0Gas Piping L J Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers I Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2200.00 Utilities:0Sewer Septic Building Height:
OWNER/LESSE,E CONTRACTOR
_ x.. .
Name KATHLEEN PAPARONE Name: VAUGHN HOSKINS
Address:81 AQUARA DR. Company: V H EXTERIORS INC.
City: JENSE BEACH State:FL• Address: 543 NW WAVERLY CIR.
Zip Code: 34957 Fax: City: PORT ST LUCIE State:FL.
Phone No.609-457-7674 Zip Code: 34983 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN-.1INFORMATION
DESIGNER/ENGIN, n�.:-. ..
EER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: TOWN BCOUNTRY IND. Name:
Address:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone: 954-970-9999 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 wi le a or an attorney before
commencing work qPmcording your Notice of Commencement
/V
s
_Signature of Owner/Les Agent Signature of Contrac or/Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of�uy�-� 20 �by this day of -��'rn� 20 �by
�AVV\ Y1
(Name of person acknowledging) (Name of pe son acknowledging)
(Signature of Notary Publ -State of Florida ) (Signature of Notary Public-State of Florida)
.-�•` � A GIVENS
Personally Known OR P„1 nd{1 fieri ni�, Personally Known Oo��[i.cetllder�fa#i�c�tlgr�tP,�of Florida
Type of Identificat°fi Prq Ted �SSate of 6, Type of Identification ProducadV'PU' L t�P°bi1C pec 1 �6
No
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Expires Ne �' o «°= Gomrrr• EE 85
Commission No. r`'. y Cam rk EE 858761 r 2
Commi��e��l• Assn Commission No. J1 M
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I N «ac ,ou h National Not���
ded ���' � EpFS
Revised 07/15/2'014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS