HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPucAnON TO BE ACCEPTED
Date: q. C n Permit Number:
max; RECEIVED
•
— - - SEP �-7 1016
Building Per it 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 IMPROVEMENT LOCATION„;
Address: 6812 WADSWORTH TERR., PORT ST. LUCIE, F_ 34952
Legal Description: OLEANDER PINES BLK 1 LOT 37 (0.22 AC) (OR 2977-2010)
Property Tax ID#: 3415-705-0038-000-2 Lot No.37
Site Plan Name: Block No. 1
Project Name: Hurricane shutters (accordion type)
Setbacks FrontX Back: X Right Side X Left Side: X
-DETAILED DESCRIPTION OF WORK:' = -
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CONSTRUCTION INFORMATION.
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Additional work to be nertormedunder this permit–c e a9Shutters
appy:
RHVAC LJ Gas Tank []Gas Piping _ a Windows/Doors
11ElectricPlumbing OSprinklers E Generator 0—Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,478.00 Utilit es:OSewer OSeptic Building Height: 15 FEET
OWNER/LESSEE CONTRACTOR: =
NameTeresa Cannon Mallory Name: EDWING O. SOSA
Address:6812 WADSWORTH TERR Company: Edwing's Unlimited Shutter Services, LLC.
City: PORT ST.LUCIE State-.FL. Address: 460 NW Concourse Place#16
Zip Code: 34952 Fax: City: Port St. Lucie State:FL.
Phone No.(772)353-0999 Zip Code: 34986 Fax: (772)905-9431
E-Mail: Phone No. (772)370-0766
Fill in fee simple Title Holder on next page(if different E-Mail: ed@edsunlimitedservices.com
from the Owner listed above) State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTRUCTION IIEN LAW INF . RMATIO.N:
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 Code and St.Lucie County Amendments.
The following building permit applications are exempt from uncle going a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,.screer,rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice cl 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.
ll 0 9 6L s
_Signature of Owner/Lessee/Agent Signature of Contr t
ctor/License Holder
STATE OF FLORIDA . STATE OF FLC1nDl� I.1.��
COUNTY OF ST. u Gie COUNTY OF
The forgoing instrument was cknowledged before me Theforgoing ins e�ac no ledged before me
this_LL day of trL 20 L6-by this 7day of 20 by
Ccir,h6�-1 P'1C11IDrw�v�g
(Name of person acknowledging) (Mame of person acknowledging)
L_ dcL . s& a h87- 4 0"GWJA
(Signature of Notau 1pr, ,a o or (Signature of Notary Public-State of Florida
:Pk' CA L.SOSA
:°. otar P blic-State of F o'tla
Personally Known = ,i u� rja ,ar Personally Known OR Pr J �d•e i t'o
Type of Identifcati 9- res Ma Type of Identification Produced _ C� �
Bonded through National Notary Assn.
Commission No. Commission No. �.tPara�% s LISA M.CAUDULLO
B
Notary Public-St
t - 4 *•= Commission#j FF 242801
Revised 07/15/2014N�: OF Fl�O'` My Comm.Expires Sep 25,2019
Bonded through National Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS