HomeMy WebLinkAboutBuilding Permit Application �IJ '
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE
Date: Permit Number:
f' Cl Ems-, ti.A E. a
-_- ---- ---- - Building Permit Application JUL13 ���
Planning and Development Services
Building and Code Regulation Division PERFAITTiNG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6496 Alemendra„Fort Pierce, FL 34951
Legal Description: 06 34 39 that part of sec as shown in or 2380-1934 being lot 6496 Alemendra St
(blk 75 lot 33)(0.13 AC)(or 3358-968)
Property Tax ID#: 1306-501-1163-000-7 Lot No. 33
Site Plan Name: Block No. 75
Project Name: Bradford
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION”OF WORK:,
N.S�fiII r1 RCGOf biou S4U7FE-9s•
CONSTRUCTION INFORMATION:: ,
Additional work to be nartormed under this permit—check all that appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows%Doors
Electric 0 Plumbing E]Sprinklers Generator Roof
Total Sq. Ft of Construction:
SFt.of First Floor:
Cost of Construction:$ `���� Utilities:n Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gary 8 Elizabeth Bradford Name: Edward J Heritage ,
Address:6496 Alemenda Company: Folding Shutter Corp
City: Fort'Pierce� State: F� AdcJres` -7089 F(ernstreet PI
Zip Code FaX r~; City 1Nest`Pa)m Beach,;,, State:FL
Phone No`77Z 216'7331 :, Zip Code'3341x,"' .. Fax: 561-640-8204
t 0 ,
E-Mail: "` 'Pf�on'e No:`561-683-4811
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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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
_Signature of 0 e Agent Signature of Contr older
STATE OF FLORIDA J�//�,y►� sem,^ //� STATE OF FLORIDA
COUNTY OF rW4/�/ �C.�Yj/ COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11 day of 20 Q by this 1/ day of ��I� 20 Ile by
EDWARD J HERITAGE
(Name of person acknowledging) (Name of person acknowledging)
`e-• `� 4a.
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Knowny OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
I—
Commission No. ~ 9C- ! (Seal) Commission No.1�r d�� (Seal)
S PAMELA A.EVA4S 1 PAMELA A.EVANS
e� Y PUBLIC NOTARY PUBLie
STATE OF FLORIDA
Revised 07/15/2014 =STATE OF FLORIDA
. Comm#FF150967 10 Comm#FF150967
txplres 10/1 11rd 018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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