HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
—71 Date: Permit Numbernl�
REL v
• JUL 17 2018
Building Permit Application ST. Lucie County, Permitting
Planning and Development Services
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 IM=PROVEME,NT LOCATI03N.
Address: 6207 Arlington Way, Fort Pierce, FL 34951
Legal Description: Portofino Shores(PB 43-6) Lot 173 (or 2045-541 : 2093-168: 3800-974: 3893-1068)
Property Tax ID#: 1312-501-0108-000-6 Lot No.173
Site Plan Name: Stolive LLC Block No.
Project Name: Stolive LLC
Setbacks FrontX Back: X Right Side: X Left Side: X
d
DETAILED DESCRIPTION OF WORK �
(11)Accordion Hurricane Shutters Installation e✓e
CONSTRUCTION INFORMATION r
Additional work to be nertormed under this permit—check all appy:
❑HVAC Gas Tank Gas Piping _Shutters El-Windows/Doors
Electric Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: AA S Ft.of First Floor:
Cost of Construction:$ • �U Utilities. Sewer Septic Building Height:
OWNER/LESSEE : CONTRACTOR ..
NameStolive LLC Name: Miriam Van Tassel
Address:6120 Spring Lake Terr., Company: DVT Hurricane Shutters
City: Fort Pierce State:FL Address: 3100 N Kings Hwy
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No. 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.
gmMRg
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 pians,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
cornmencing work or recording our Notice of Commencement.
�..
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF 6k- 1. c%.';Z COUNTY OF S k . ",c �-,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of "�a�, ,20T by this_)3_day of 201.-d by
V'`\'�� �d� V � �a 5��,� Vri`,r.Ra w� � d► ,n �ac S 5 e
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 Tr L- )D Produced
Notary of
nature Si P blic-State_PJ Florida.l�
(Signature of Notary ublic-State of Flsarida:) ?, (Signature ry
x(;42202+ L1�Ftt�PtAt�lARSEGNGSd�
Vis_ Y GIsogl)'-O et t:,2020 t` 2023
Commission No. ts" Commission N !. �is..taN( dal'
,. Jiv
IM 41. n= p1REB:pccem hticUnden�nters + 4i1 g": � '- E7(PIRES:Bcretnbst 1S,2a20 ,
4� �,•Q, � pug ,. nvrilets
4 :a, ThTu
¢lotanl pu licUnde E
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED I F
Rev.8/2/17