HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: 711711 Permit Number:
RECEIVED112
Building Permit Application JUL 17 2098
Planning and Development Services
Building and Code Regulation Division ST. Lucie CounCyt PrLr�i4ting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED 1M PROVEN ENT:.LOCATION.
Address: 14187 CISNE CIRCLE, FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 37 LOT 4(OR 1276-508: 3522-412)
Property Tax ID 5 tC - d 001-000 -Q Lot No. 4
Site Plan Name: SCHMIDT Block No. 37
Project Name: SCHMIDT
Setbacks Front X Back: X Right Side: X Left Side:
DETAILED DESCRIPTION„OF WORK
INSTALLATION OF 4 ACCORDION HURRICANE SHUTTERS
COf�STRUCTiON INFORMATION
- .- . .
Additional work toe e orme under this permit-check aMShutters
appy:
HVAC E]Gas Tank Gas Piping Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2090.77 Utilities:cnSewer OSeptic Building Height:
Q1N48RAESSEE ” `" " CONTRACTOR:
Name ROBERT SCHMIDT Name: MIRIAM VAN TASSEL
Address:14187 CISNE CIRCLE 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.772-595-0478 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 cGNST-,.#y ON LIEN LAW.,INFORMATION `.
r
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.
Signatur of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—'S-r- "c--\P, COUNTY OF -!!�Jr. 1 c- \ e
The forgoing instr�nent was acknowledge before me The forgoing instrument was acknowledge before me
this�day of `J\ `I ,20 A by this N1 day of SJ��j 20� by
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 L Produced
(Signature of Notary P lic-State of Flor,daNS 3 �; (Signature of Notary blic-StaE=Florr � �ys
�•�� , �^PR1E
Commission No. �s 01 � �Ntti5?� „�24s�f Commission ,o :QS�`1 .,1v4.P1$510ti#/ �a2fl
�J�b�x DtG��S.Daremub\wUrde �1; ' '�\ sJCPIR�S:d�'ePuWblVU,de[Wn1e
WN”,J'
REVIEWS FRONT"�', qONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17