HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: vg Permit Number:
RECEIVED
Building Permit Applicati Dn JUL 17 2018
Planning and Development Services ST. Lucie County, Permitting
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: To Select from dropbox, click arrow at the end of line
PROPOSEDdIMPROVEM`EA LOCATION: A:.
Address: 5606 PLACE LAKE DRIVE, FT. PIERCE, FL 34951
Legal Description. PORTOFINO SHORES- PHASE TWO -( P13-43-33) LOT 67 (OR 3469-1511;3893-1071
Property Tax ID#: 1312-502-0058-000-3 Lot No.67
Site Plan Name: MANKE Block No.
Project Name: MANKE
Setbacks Front Back: Right Side: Left Side:
:DETAILED DESCRIPTIOW:OF WORK.
INSTALLATION OF HURRICANE SHUTTERS-NINE(9)ACCORDION SHUTTERS.
,CrO`NSTRUCTION4NFORMATI9N
Additional work to be nerformed under this permit—check all appy:
E1HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ C9,.3 5-1 Utilities:In Sewer[]Septic Building Height:
OV1/NER/LESSEE: CONTRACTOR:
_.
Name STOLIVE LLC Name: Miriam Van Tassel
Address:6120 SPRING LAKE TERRACE Company: D.V.T. Hurricane Shutters, Inc.
City: FORT PIERCE State: FL Address: 3100 N Kings Hwy.
Zip.Code: 34951 Fax: City: Ft. Pierce State:FL
Phone No.772-882-8286 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No. 772-794-1581
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: 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.
Signaturb of Owner/Lessee/Contractor as Agent for Owner Signature Contractor/License Holder
STATE OF FLORIDA , STATE OF FLORIDA
COUNTY OF S} L-C3 e COUNTY OF ST-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_ndaay of 20 12 by
11 this /7 days of 20_d by /
" \���o.w► �� v�SSS e I 1"1� �i ca v►� V �t�cus
Name of person making statement Name of person m king statement
Personally Known a,"' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced PC-%- Produced L fl L
(Signature of Notary Publi -State of Florida) , �V �
,�_,.�.�� (Signature of Nota b,.tl'�S'ta"te o�F oritid�)�`•
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Commission No. G0229?.3 7 11Sre�^�- Muer
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17