HomeMy WebLinkAboutBuilding Permit Application USA yZ 01 0 ' � Lcie Cove L
ALL APPLICABLE I FOFUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED /
Date: �I Permit Number: I . ca
lig—ge
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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive#1207, Jensen Beach FL 34957
Legal Description: Islandia II Condominium Unit 1207(Or 443-773)
Property Tax ID#: 4502 602.0111 000 2 Lot No.
Site Plan Name: Block No.
Project Name: Moody
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION: .
Additional work toe e orme un er t is permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping �OGenerator
Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers E] Roof
Total Sq. Ft of Construction/:: SFt.of First Floor:
Cost of Construction:$ "1 DIX� Utilities:n Sewer E Septic Building Height:.
OWNER/LESSEE: CONTRACTOR:
Name Albert&Ellen Moody Name: Edward J.Heritage
Address:1840 SW Whitemarsh Way Co_mpany_:,Folding Shutter Corporation
7.089:Hemstreetace:Pl
City�:1P•alm City..,_ - -_ State:FL Addre"ss: -
. 9Zi Code`-3490'-,,-". Cityet'Plmeacax: ` State:FL
Phone`No'.772'283 665;; ;c� Zip,Code ,3.3413 Fax: 561 640 8204
E-Mail: Phone No. 561 640 8204
Fill in fee simple Title Holder on next page(if different E-Mail: Info@FoldingShutters.Com
from the Owner listed above) State or County License: SCC131151041
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: _N`ot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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 with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
4'81 griature o Owsee Agent igature'�" "of1Co" or ' 'life
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Pain Beach COUNTY OF Paim Bean
Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of SL-v�! 20 /4'by this 5--day of -j7u I_�) 20 /�—' by
Edward J.Herita4- Edward J.Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. --F76b2L7 (Seal Commission No. 1''r_/Sc7'5�L7 (Seal)
�o1AR PMELA A.EVANS PAMELA A.EVANS
NOTARY PUBLIC 4
wlslie_`�
STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 Comm#FF150967 Comm#PF150967
CE Expires 10/11/2018 �'yCE 19��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS