HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2� , 3 Permit Number: ' �U`I0-3
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OR
Building Permit Application Permittin9De
Planning and Development Services S� Lucie countv1enr
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
tME
Address: 7036 Torrey Pine Circle, Port St. Lucie, FL. 34986
Legal Description: POD 7B REPLAT AT THE RESERVE PUD I TORREY PINES LOT 32D (OR 3758-1634)
Property Tax ID#: 3322-504-0043-000-8 Lot No.32D
Site Plan Name: Block No.
Project Name: Hurricane shutters
Setbacks FrontX Back: X Right Side: X Left Side:
DETAILED DESCRIPTION OF WORK ` `t 3 � ``' a
{ x
11 accordion shutters and 1 clear panel
itiona wor to e e orme un er t is permit—c ec a appy:
HVAC �Gas Tank ❑Gas Piping � Shutters �Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7,262.00 Utilities:Sewer Septic Building Height: 20 ft.
C#�11/NERLESSEE F `` CONTR,4CTOR 3
Name Harry W. &Charlotte A Bothe Name: Edwing O. Sosa
Address:6834 Beechnut CT Company: Edwing's Unlimited Shutter Services, LLC.
City: Stanwood State:MI Address: PO Box 881085
Zip Code: 49346 Fax: City: Port St. Lucie State:FL.
Phone No.(248)635-6621 Zip Code: 34988 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.
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: _, 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 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. .
Signature f caner/Lessee/Contractor as Agent for Owner Signature of Cntractor/License Holder
STATE OF STATE OFF(ORIDA
COUNTY OF S FLORIDA , �,c;e - COUNTY OF 5;;� .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 0 day of V1 arch ,20J by this`C) day of 20&by
I-�
(C y W . Pot X12.
Name of person making statement / Name of p on making statement
Personally Known OR Produced Identification t/ Personally Known OR Produced Identification
Type of Identficattiion Type of Identification
Produced uu Produced
bl�C
0A,Cf ,
(Signature of Notary P l ° of EF����Cr d L.SOSA atu o Public-
IY�ita�� ilc-'State of Florida: iW'y p e� ANA MARC
ELA ALARCON
(=F C 9629132 =�• °__ Ilc State of Florida
Commission No. DECI»` Commission(uo. =.• tf. -
y Was May 29;2020 : _ i Sion#GG 135318
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6ondQd through National NOtuy Assn. FOF�o y comm.Expires Aug 16,1011
Bonded through Natioral Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _T
DATE
COMPLETED
Rev.8/2/17