HomeMy WebLinkAboutBuilding Permit Application f� l �1Col�L40 ��
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 01 'oo
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Building Permit 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 XX
PERMIT APPLICATION FOR: ShutterEl
PROPOSED IMPROVEMENT LOCATION:
Address: 8108 Alister Place
Legal Description: Pod 26 at the Reserve Phase 1 Cypress Point Lot 25
Property Tax ID#: 3327-707-0029-000-2 Lot No. 25
Site Plan Name: John Wright Block No.
Project Name: John Wright
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATIO.N:
Additional work to nt orme un er this permit—c ec a appy:
HVAC
qGasa �C ¢(3:d Gas Piping Shutters ` Q'UVi'ridnws/Doors
IElectric 0 Plumbing Sprinklers 11 Generator E] Roof Roof pitch
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Total Sq. Ft of Construction: ` S Ft.of First Floor:
Cost of Construction:$ l 3z 7 6 Ct Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name John Wright Name: Edward J Heritage
Address:8108 Alister PI Company: Folding Shutter Corporation'
City: Port St Lucie` State:F� Address::7089,�Hemstreet.PI
Zip Code: 34986, ;; Fax: '. City:"West'Palrh.beach : i, State:FL
, 343 561-640-8204PhoneNo:772-461-3711 oeG :
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 thepermit 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.
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(Signa f Owner/Lessee s Agent for Owner Signature_of__Cantr o older .
STATE OF FLORIDA w I� fS�� STATE OF COUNTY F ORIF*I�
COUNTY OF 7 a�t-t �\
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /a day of 1)4C— 201 by this Jf�- day of 20 C(— by
1 Edward J. Herltane . Edward 3. 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 OR Produced Identification Personally Known `' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF lSb'FG'7 (Seal) Commission No. F' /5O 9G? (Seal)
PAMELA A.latAaygsso ANS �o��yAss PAMELA A.EVANS
NOTARY pUg
c !STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 Ws�NCE 1912 Comm#FF150967 Comm#FF150967
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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