HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "71-2;3 1 Permit Nu
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Building Permit Applicati n JUL 2 3 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FI_
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PRQPOSED ENT IMPROVEMLOCATION
Address:
Legal Description: PORTOFINO SHORES-PHASE THREE (PB 43-40) LOT 299 ( R 3403-2731: 3893-1069)
Property Tax ID#: 1312-503-0095-000-7 Lot No. OV-1?
Site Plan Name: PORTAMES LLC Block No.
Project Name: PORTAMES LLC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
;.
INSTALLATION OF FOURTEEN(14) HURRICANE SHUTTERS-ACCORDION SHUTTERS
CONSTRUCTION INFORMATION
Additional work to be nprtormed
t under this permit—c ec<all appy:
❑HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing E]Sprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
��Cost of Construction:$ Utilities:Cn Sewer[]Septic Building Height:
OWNER/LESSEE v CONTRACTOR
Name. . - Q Name: \01
Address: �r��lD b' Company: D.V.T. HURRICANE SHUTTERS
City: State:FL Address:
Zip Code: 34951 Fax: City: 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.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. ,•
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFjORMATION � .:
s
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
commeRcing work or recording our Notice of CQMAencement.
n U)I I Alln
a NPr l
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S n Jure O ner/Lessee/Contractor as Agent fo Signature of Contractor/License Holder -P, *;,•'�
STATE OF FLORID _ o STATE OF FLORIDA d�g
COUNTY OF 5 9 COUNTY OF xo
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The for oing Inst nt was acknowledge fore m b z The forgoing in rum nt was acknowledg, efo Ingo
this day of 20� y �T this day of 20 by c�T
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\qName of perso aking statement a Name of person��ng statement A N
Personally Known OR Produced Identification Fersonally Known / OR Produced Identific
Type of Identification Type of Identification
Produced Produced
U1)_ 46. '0
—" ("? 4- t4'r). a'_� �V�
(Signature of Not Public-State of Florida) (Signature of Not 9V
ublic-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