HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( Permit Numb .
:J�" —
RECEIVED
ON W__
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Building Permit Application JUL 2 3 2018
Planning and Development Services g p Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St• 4U County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Shutter
PR(JPOS;ED IIVIPROUEMENT LOCATION :
Address: 9415 BUNTING LANE, FT. PIERCE, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB-UNIT TWO-LOT 140 (OR 2982-190)
Property Tax ID#: 1334-502-0057-000-4 Lot No. 140
Site Plan Name: BETH SNOWE Block No.
Project Name: BETH SNOWE
Setbacks Front Back: Right Side: X Left Side:
DETAILED DESCRIPTION OF WORK
a
INSTALLATION OF THREE(3)ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION
Additional work toe nPrformed under tis permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1626.03 UtilitiesSewer Septic Building Height:
O1J1/NER/LESSf=E A CONTRACTOR }4
Name BETH SNOWE Name: MIRIAM VAN TASSEL
Address:9415 BUNTING LANE 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.207-319-5488 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.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.
SUPPLE'M�NTAL CONSTRUCTfON LIEN LAIN INF.,ORMATIQN
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 twit
improvements to your property. A Notice of Comm ent must be recorded and posted on the j ,,
before the first inspection. If you intend to ng consult with lender or an attorney bef _
commencing work or recording our Notice of ement. ` •••• '
la4li�f 611�4 „ m
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Signature o Owner/Lessee/Contractor as Agent for 0 r �cb,o ignature o ontractor/License Holder
Sapm
STATE OF FLORIDA } TATE OF FLORIDA ( .k
COUNTY OF Lam . aOUNTY OF
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The forgoing instrument was acknowledged before me v 8 he forgoing instrument was acknowledged before 11 '`
this 'Z�Jday of 20 by is`Z? day of 20 by
r)otY1o�] ���i� / '�SSe1
Name of persoryFrraking statement Name of perso aking statement
.Personally Known r�// OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Jpeary Public-State of Floricra CJ (Signature of Nota P blic-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17