HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /_ --y � �/�
Date: 7/13/2016 Permit Number: I4 07 QO�T'7'"
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Building Permit ApplicationRECEIVED
Planning and Development Services JUL 13 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Shutter
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Address: 2548 NAV SEAGRASS DR. BUILDING#3 PALi®l CITY FL 34990
Legal Description:Bayhead Village BLDG 3 t1nit 8B
Property Tax ID#:4425-601-0024-000-6 Lot No.
Site Plan Name: Block No.
Project Name:DAVID}&JEAN BRISHAM
Setbacks Front Back: Right Side: Left Side:
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2 Impact N11indow Installation
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Additional work to be performed under this permit—check all Mappy:
®HVAC Gas Tank ❑Gas Piping _Shutters ®Windows/Doors PL
®Electric Plumbing Sprinklers ®Generator ®Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2000 Utilities:11Sewer®Septic Building Height: 20ft
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Name DAVID&JEAN BR1SHANI Name:Robert Altino
Address: 2548 NNV SFAGRASS DR. BUILDING#3 Company:Galeforce Hurricane Shuttea•s rne.
City: 1'ALNI CITY State: TL Address:7636 South Federal Highway
Zip Code: 34990 Fax: City:fort St.Lucie State:F1
Phone No. 772-249-5577 Zip Code: 34952 Fax:772-621-8159
E-Mail: Phone No. 772-337-6200
Fill in fee simple Title Holder on next page( if different E-Mail:raltinonifsst Com
from the Owner listed above) State or County License:CBC1251430
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGN ER/EN 61 NEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: _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.
Thefollowing building permit applications are exempt from undergoing afull 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.
Sig re of Owner/Agent/Lessee l;�^w Ne S' ure of Contractor/License Holder
so• v
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF Saint Lucie
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The fo oing instr t was acknowledgeobefore i-<:20 The forgoing instrument was acknowledged before me
this day of 20 by 2 ms this 13 day of ]uly ,20 14 by
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(Name of person acknowledging = (Name of person acknowledge g)
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(Signature of No Public-State of Flori } (Signature of Notary Pub c-State of Florida}
Personally Known `/OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. rico l 7 ao (Sea
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STATE
Revised 07/15/2014 Conm#".F.F
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COU NITER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS