HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 18, 2018 Permit Number:
Building Permit Application 8
Planning and Development Services JAN 2 3 201
Building and Code Regulation Division
2300 Virginia Avenue,FortPierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP O SED.IMPROVEMENT LOCATION:
Address: 26 Ecuador Way, Fort Pierce, FL 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639)That part of sec as
shown in or 2389-639 being Lot 26 Ecuador Way
Property Tax ID#: 1301-500-0303-000-6 Lot No.26
Site Plan Name: Bronson Block No.
Project Name: Bronson
Setbacks Front Back: Right Side: Left Side:
;D,ET�AIILED DESCRI`PTION';OF,',W ,RK:.'
Installation of 11 accordion hurricane shutters
rC0'NSTRUCTI;ON IN�FORMi4TION:
Additional work toe performed under this permit—check a appy:
HVAC El Gas Tank E]Gas Piping `� Shutters Q Windows/Doors
Electric O Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq• Ft of First Floor:
Cost of Construction:$ 8,062.99 Utilities: 1Sewer OSeptic Building Height:
OWNER/<LESS'EE.` CONTRACTOR:
NameCathleen Bronson Name: Miriam VanTassel
Address:26 Ecuador Way Company: DVT Hurricane Shutters, Inc.
City: Fort Pierce State:FL Address: 3100 N Kings Highway
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-672-4693 Zip Code: 34951 Fax: 772-794-1590
E-Mail:cbronson55@comcast.net Phone No. 772-794-1581
Fill in fee simple Title Holder on next page(if different E-Mail: dvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License: 24394
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S'UPP,LEMEaNTAL�,CONSTRUCT,IONI[EN•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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 an 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signifuretof Contractor/License Holder
'o
STATE OF FLORI ?h' r. STATE OF FLORIDAc o =
COUNTY OF .�r COUNTY OF110
'V
The forgoing instr"ent was acknowledged befor The f oing ins ent was acknowledge before a x a
thisday of (� 261 by X<a thiday o 20 'by 2:20,J
�-- 9a Mai
12 rn-
Name of person making statement 9 g= Name of pets making statement .
Personally Known ✓ OR Produced Identifica �.c Personally Known OR Produced Identificati
Type of Identification :' Ri Type of Identification
Produced �+ Produced
(Signature of tary Public-State of Flovrida V (Signature o otary Public-State of Flbrida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17