HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:,
RECER"7-D JUIN 3 0 7016
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: ShutterEl
PROPOSED IIVIPROVEIVIENT LOCATION: `=
Address: 10851 S. OCEAN DR. JENSEN BEACH FL. 34957
Legal Description: WIND MILL VILLAGE BY THE SEA, LOT 15
Property Tax ID##: 4511-810-0022-000-8 Lot No.15
Site Plan Name: Block No.
Project Name: WIND MILL VILLAGE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
INSTALL ONE OPENING WITH CLEAR PANELS.
INSTALL NINE ACCORDION SHUTTERS.
CONSTRUCTION'INFORMATION
Additional work to be nerformed under this permit—check a appy:
F1HVAC 11 Gas Tank ❑Gas Piping ✓ Shutters Q Windows/Doors
ElElectric ❑ Plumbing 11 Sprinklers ElGenerator F] Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 2450.00 Utilities:Sewer E Septic Building Height:
OWNER/LESSEE = CONTRACTOR.
_..
NameJOANN BRAZEE Name: VAUGHN HOSKINS
Address:10851. OCEAN DR. Company: V H EXTERIORS INC
City: JENSEN BEACH State:FL Address: 543 NW WAVERLY CIR.
Zip Code: 34957 Fax: City: PORT ST. LUCIE State:FL. .
Phone No.440-227-1339 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 LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: TOWN&COUNTRY IND. Name:
Ad dress:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State,
Zlp.. 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 th first inspection. If you intend to obtain financing, consult ith lenfier or an attorney before
commehing work or rerord:ing your Notice of Commencement.
S
_Signature of Own r/Lessee Agen Signatur4 of Contract r/License der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-2>0 day ofdyV'Z 20 \k by this 3a day of -:5 V,J\1 20 N5�_by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary PubII -State of Florida ) (Signature of Notary Pub ic-State of Florida )
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Personally Known OR Produced Ident .ieati Personally Known OR Pro Lice $ i'icati5h
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Revised 07/15/2014
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