HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: J XU
• RECEIVED
Building Permit Application MAY 2 5 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce 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
PROPOSED IMPROVEMENT LOCATION:
Address: 6768 DULCE REAL, FORT PIERCE, FL 34951
Legal Description: 06 34 39 THAT PART OF SEC
AS SHOWN IN OR 2380-1934BEING LOT 6768 DULCE REAL(BLK 63 LOT 18) (0.13 AC - 5663 SF) (OR 3949-8
Property Tax ID#: 1306-501-0785-000-6 Lot No. 18
Site Plan Name: STRAUBMULLER RESIDENCE Block No. 63
Project Name: STRAUBMULLER RESIDENCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF HURRICANE SHUTTERS — S.ede-A Op, "' JS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
HVAC Gas Tank EJGas Piping Shutters a Windows/Doors
11 Electric ❑ Plumbing F]Sprinklers a Generator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 3,50Q.7Z UtilitiesSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WARREN STRAUBMULLER Name: MIRIAM VAN TASSSEL
Address: 6768 DULCE REAL 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. 609-780-5727 Zip Code: 34951 Fax: 772-794-1581
E-Mail: wdstraubmuller@aol.com Phone No. 772-794-1590
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: WARREN STRAUBMULLER Name: MIRIAM VAN TASSSEL
Address:6768 DULCE REAL,FORT PIERCE,FL 34951 Address: 6768 DULCE REAL
City: FORT PIERCE State: City: FORT PIERCE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 3100 N KINGS HIGHWAY 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 of)Owner/Lessee/Contractor as Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF L V1. F, COUNTY OF
The fing instrument was acknowledged efore me The forgoing instrument was acknowledge fore me
this 1p4Y day of � 20 by this day of 20by
Name of pe rs making statement Name of person akin statement
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I AA �; � [ . ,�
�inre Lof Notary P lic-State of Florida) (Signature of Notary Public-State of Florida)
KAR a
Commission No.
Commission No. °P"'°�e'; H. NiEi-SFN
�c tate of Florida-Notary Fublic _ _ iCi
Srate o/Florid SEN
Commission # GG 207484 8 r�utarY Public
Commission # b i
'•', �,,.o"A My Commission E GO
Jun, 2022LL; J nr!'.,;'a^ h'xpir,.3s
REVIEWS FRONT ZON N PLANS VEGETATION S
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RE
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17