HomeMy WebLinkAboutBuilding Permit Application I
I .1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 29, 2018 Permit Number:
Building Permit App •cat•
on
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 X
PERMIT APPLICATION FOR: P
To Select from dro box, click arrow at the enci of line
PR®PdOSED I�IVIPROVEMENT LOCATION
Address: 935 Natures Way, Fort Pierce, FL 34945
Palm Breezes Club PB 49-32 Blk 4 Lot 22 OR 3642-2105 '
Legal Description: � � � �
Property Tax ID#: 2310-500-0116-000-9 Lot No.22
i
Site Plan Name: Boeckeli, Block No. 4
Project Name: Boeckel j
Setbacks Front Back: Right Side: Left Sided
i
ETA'I WDE§CRIPTI�ON'OF
Installation of eight(8)accordion hurricane shutters
I .
i
tCONSTRUCTIONIN�FORMATI,O'_N a,
t
_air I
Additional work toe e orme un d er this permit—check k a appy:
11HVAC E]Gas Tank ❑Gas Piping Shutters L
Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator E]Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:!
Cost of Construction:$ 2,945.69 Utilities:[]Sewer 1 Building Height:
dWNIE,R/LESSEES, CONTRACTOR:
1'
Name Marcus Boeckel Name:Miriam Van Tassel
Address:9305 Natures Way Company: DVT Hdrncane�Shutters, Inc.
City: Fort Pierce State:FL Address: 3100 N Kings Hwy
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No.772-801-7491 Zip Code: 34951 i Fax:
E-Mail:mtmracing@yahoo.com Phone No. 772-794-1581;
Fill in fee simple Title Holder on next page(if different E-Mail: dythurricarteshuttersinc@hotmail.com
from the Owner listed above) State or County Liciense: 24394
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I,�I
SUPPLEMENTAL CONSTRUCTION LIEN L'AW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone: G�
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 the permit holderjto 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. !
f( _7��4
Signatur of Owner/Lessee/Contractor as gent for Owner Signat a of ontractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF COUNTY OF s v
The forgoing instrument was acknowledged before me The forgoing instrum I nt was acknowledged before me
this G day of �b ,201 by this-�—day of *; I'; 20 ig by
Name of person making statement Name of person making statement
Personally Knower OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Type of Identification'
! Produced fL Q,l i Produced IRIWJp
! (Signature of Notary Public-State oPFlorida) (Signature of Notary Public-St'ale of,Florida)
•u��nn, (Se; �ASHAHNA INGRAM ' !
Commission No. •g• � �s ary Public-State of Flo 1tRo mission
•.t rn�••,, ?I LASHAHNA INGRAM
• A M Comm.Expires Dec 20, 018 ^F
A y P aa�t� Notary Public-State of Florida
Commission #FF 177249
�4fi�:�••• Bonded through National Notar Assn. o;= commiss'o uL
REVIEWS FRONT' I`�VISOR�` l ANS GE' `'N eo �}o� g,I �I N tar N ROVE
4 COUNTER REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED !' 1
Rev.8/2/17
I I �