HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date1�� 1`� Permit Number:
a
RECEIVED
Building Permit Applicatio
Planning and Development Services JUL ® 208
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie Cory, permitting
Phone: (772)462-1553 Fax:(772)462-1578 Commercial ReSCCIEni of T----_
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:.
Address: 6218 ALLENTON WAY, FT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES- PHASE TWO (PB 43-33) LOT 85 (OR 4103- 1342)
Property Tax ID#: 1312-502-0076-000-5 Lot No.85
Site Plan Name: MARCANTONIO Block No.
Project Name: MARCANTONIO
Setbacks FrontX Back: X Right Side: X Left Side: X
DETAILED DESCRIPTION`OF WO K;
INSTALLATION OF HURRICANE SHUTTERS-24 HURRICANE SHUTTERS(20)ACCORDION (4)HAND OPERATED ROLL-UP
CONSTRUCTION INFORMATIONw`. ``
Additional work toe performed under this permit—check a appy: r
❑_HVAC Gas Tank Gas Piping RShutters Q_ Windows/Doors
11 Electric E]Plumbing Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 18,865.04 Utilities: Sewer OSeptic Building Height:
OA/NERJLESSEE CONTRACTOR
NameALBERT MARCANTONIO Name: MIRIAM VAN TASSEL
Address:6218 ARLINGTON WAY Company: DVT HURRICANE SHUTTERS INC
City: FORT PIERCE State:FL Address: 3100 N KINGS HWY
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.401-935-9800 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No. 7725-794-1581
Fill in fee simple Title Holder on next page(if different E-Mail: DVTHURRICANESHUTTERSINC@HOTMAIL_.C(
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.
�p •'ISE 1����, CC?�'S<� tJCl'I Q' ' � �"�" I.1�tU11 _' "OF;I,,A1"l �til':
DESIGNER/ENGINEER: Nat A M livable
--- pp MORTGAGE COMPANY: _Nat 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 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 recording our Notice of Commencement.
ell
Signature f Owner/Lessee/Contractor as Agent for Owner Signature Af Contriactor/Licign. se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 k . 1.- COUNTY OF S-1r.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledges#before me
this A day of S 20Vi by this-day of S X11 T ,20V% by
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Name
1 �`�rria► ,i,n \)�„n � wSSe�
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L D'L- Produced V-L t U
(Signature of Notary P !ic-State of F fjtf ._ {Signature of Notar)PPubj�S e::o#'-Flor"�A.
errs . 7� etvcrls
ra C1P1t�iulFtiRIGN 425 t s "' r- lyniylr
pcJt GG 422 q # QJWGG 422023
Commission No. ,,..T ona;� fl)i a 242o S Commission No. mvco��n�,tssta # 2424
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REVIEWS FIN'f' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17