HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1120 , Permit Number. r
RECEIVED
•
Building Permit Application DEC 2 0 2016
Planning and Development Services PE R M I TTI NG
Building and Code Regulation Division St. Lucie County, FL
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: 7006 Torrey pines Circle, Port St. Lucie, FL. 34986
Legal Description: POD 713 REPLAT AT THE RESERVE PUD I TORREY PINES LOT 40D
Property Tax ID#: 3322-504-0051-000-7 Lot No.40D
Site Plan Name: Block No.
Project Name: Hurricane shutters (accordion type)
Setbacks FrontX Back: X Right Side: X Left Side: X
DETAILED DESCRIPTION OPVORK. .
11 Accordion shutters
-CONSTRUCTION.INFORMATION
-
Additional work to be nertormed under this permit check a
py:
HVAC Gas Tank 0Gas Piping Inapp
_Shutters I___1 Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,462.00 UtilitiestSewer OSeptic Building Height: 25 ft.
OWNER/LESSEE:. CONTRACTOR:, =
NameJane Spencer Name: Edwing O. Sosa
Address:7006 Torrey Pines Circle Company: Edwing's Unlimited Shutter Services, LLC.
City: Port St. Lucie State:FL. Address: 460 NW Concourse Place#16
Zip Code: 34986 Fax: City: Port St. Lucie State:FL.
Phone No.(217)274-5165 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.
SUPPLEMENT .-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.
I-&"nF-Aw'f4o9s
Signature of Own I
r/Lessee/Contractor as Agent for Owner Signature of Contra or/License Holder
STATE OF FLO,,RRlnA STATE OF FILOR�A
COUNTY OF �'J,l /VL( CIJL COUNTY OFf-
The for oing instr rhe t as acknowledged before me The forgoing Inst ument was acknowledged before me
this day of `L� (GV 201k by this -I day of btN 1 -� }26(11 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known 'y OR PrQduced Ide tific tion Personally Known KORP �uced!dent fication.
it of Identification Pro uced!.Type of Identification Produced: . .1 % � dt_SA�u• LISA M.CAUDULLO
Commission No. *^ �Y Public State of Flo i p"a�;-- blic-State of Florida
omission N .: N 1��
Commission#FF 242801AA Commission#FF 242801
'• e` Y Comm.
M P P
Expires Se 25, 019 1 N' - *aQ: My Comm.Expires Sep 25,20191
-f �1,,11,e1�a one through
a through National Notary Assn.
Revised 07/15/2014
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DATE
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