HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/29/16 Permit Number:
Building Permit Application OCT 2 6 �01c
Planning and Development Services PERT, I TiN-
Building and Code Regulation Division St. Lucie COUniy, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 5720 Spanish River Rd.
Legal Description: Portofino Shores (PB-43-6)Tract R-1
Property Tax ID#: 1312-501-0020-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Portofino Shores
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
r/77�L.�.A;r/CIrJ d7-- L u rzI nJ v�y /3`n/��Z.S
C1Vr1&4CE` LSU 1�c_
w
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a appy:
1JHVAC E]Gas Tank Gas Piping [!n Shutters Q Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers F]Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,029.58 Utilitiest Sewer OSeptic Building Height:
OWN ERAESSEE: CONTRACTOR:
Name Portofino Shores Name: James Silvia
Address: 5720 Spanish River Rd. Company: Palm Coast Fl Commercial Development, LLC
City: Fort Pierce State: FL Address: 675 4th Street
Zip Code: 34951 Fax: City: Vero Beacfh State:FL
Phone No. 772 460 1660 Zip Code: 32962 Fax: 772-299-1958
E-Mail: Phone No. 772-299-1955
Fill in fee simple Title Holder on next page(if different E-Mail: giovanna@palmcoastshutters.com
from the Owner listed above) State or County License: CBC1258218
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
10/26/2016 09:25 7722991958 PALM COAST SHUTTERSF PAGE 01/01
-SUPPI,I"11t ENTAL-CONSTRU. &.46"':
DESIGNER/ENGINEER: `Not Applicable A MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:—
'� Zip: Phone: zip: Phone:
I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip:_ Phone:
I
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lude 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 Horne 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
c mencin work or-recording our Notice of Commencement.
C
Signature of ownertA
see/ ntrac4 or as Ag nt or Owner Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORIDA
COUNTY QF �+U�,g�,t '�f c1 - COUNTY OFn1�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this "day of Cd^ = 20 1 __by this Al day of_3� 20 ,1 by
(Name of person acknowledging) (Na o rso cknowledgin
(Signature of N -Public-State of Florida) {Signature of ary lic-State of Florida)
Personally Known - � cit Personally Known P � e
1'tlx: T e of identificatio Prg�jy{�e
Type of Identification ProM -� ,`.•n,t,r J SION ��� yP aP- �. Caio�e praus�y�rt�
Commission No. Commission No. my commis i�ao77
- ''}?T4�'l.CC44 or irea01/3 019
Revised 07/1512014,20 e i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNT> R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS