HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED / J `7
Date: f 0 Permit Number:
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Building Permit Application
Planning and Development Services MAR ^ 1 2018
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: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6695 Dickinson Terrace, Port St Lucie, FL 34952
Legal Description: OLEANDER PINES REPLAT BLK 1 LOT 159 (0.268 AC) (OR 2092-961)
Property Tax ID#: 3415-706-0030-000-9 Lot No.159
Site Plan Name: Block No. 1
Project Name: Hurricane shutters (accordion type)
Setbacks Front 3 openings Back: 1 opening Right Side: 5 openings Left Side: 4 openings
DETAILED DESCRIPTION OF WORK:
13 accordions shutters
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit—check a appy:
11_HVAC 11 Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric ElPlumbing 05prinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 6 UtilitiestSewer E]Septic Building Height: 20 ft.
OWNER/LESSEE: CONTRACTOR:
Name Richard & June M Peterson Name: Edwing O. Sosa
Address:6695 Dickinson Terrace, Company: Edwing's Unlimited Shutter Services, LLC.
City: Port St Lucie, State:FL. Address: 460 NW Concourse Place#16
Zip Code: 34952 Fax: City: Port St. Lucie State:FL.
Phone No.(772)468-1099 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.
SUPPLEMENTAL 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: _C 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 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 rjecording your Notice of Commencement.
Xe t-114 Iim 0 bbl
S)finatur'e o Owner/Lessee/Contractor as Agent for Owner Signature of/
f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S t. Lu-i-t e- COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Jam++ day of F c 6 r torr Y 2018 by this iu day of C=car x�.�c� 20x�,by
�i Get art" Pete
Name of person making statementName o erson making statement
Personally Known OR Produced Identification L// Personally Known OR Produced Identification
Type of Iden ification Type of Identification
Produced D' Produced .
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(Signature of Notary i t of I id gnaI/A,—
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Commission No. 'I ""�� Notary�A LSOSA ANA MARCELA ALARCON
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•= Commission#GG 135318
• •s CommissWn N PP 962932 "9 My Comm.Expires Aug 16,2021
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Expires May 29,2020 ` ��« '
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REVIEWS F O T O I G R I PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17