HomeMy WebLinkAboutBuilding Permit Application /S �6 a0Ib00G
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: to � 1� Permit Number: \Co 1a- Q_1W_0
•
Building Permit Application RECEI"70 �.�; ._. �D1G
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 XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Q
PROPOSED IMPROVEMENT LOCATION:
Address: 6495 Alemendra St, Fort Pierce, FL 34951
Legal Description: 06 34 39 That Part of Sec as shown in OR 2380-1934 Being Lot 6495 Alemendra St(Blk 50 Lot 43)
(0.13AC)(OR 3746-915;3855-1120)
Property Tax ID#: 1306-501-0614-000-7 QIza ) C30 - O Lot No.43
Site Plan Name: Block No. 50
Project Name: Robert Macaluso
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:,
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tispermit—check all appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ f Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Sharon A Macaluso Name: Edward J. Heritage .
Address:6495 Alemendra St Company: Folding Shutter Corporation
City: Fort Pierce State:FL Address:- 7089_Hemstreet:Place
Zip Code: 3495:1 "Fax:`' City: West Palin.Beach'' State:FL
Phone No..(631)404-6775 'Zip Code: '33413: `'. Fax: (561)640-8204
E-Mail: Phone 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: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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.
re—,r� IQ: (: > s
Signature of Own esse ractor as Agent for Owner Signature of Contr Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The for oing instrument was acknowledg before me The forgoing instrurrlent was acknowledged before me
this C day of 0I—T 201 If by this 1-2 day of CJG 20 by
Edward J.Hedta96- 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. �r(�D / (Se Commission A EVAN9 Commission No.rf`IJ u S�' (Seal)
NOTARY PUBLIAA
C �p�t,RYgs�� PAMELA A. EVANS
Comm#FF150$�7 W"1VCFi
Pt IRI Ic
STATE 01-FLORIDA PJQTAPV
STATE OF FLORIDA
Revised 07/15/2014 _. comm#FF150967
Expires 10/1112010 9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS