HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 6, 2018 Permit Number: 1 I g
-.__-_ - - •_.-__ RECEIVED
Building Permit Applicatio
Planning and Development Services AUG 0 6 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST..
Phone: (772)462-1553 Fax: (772)462-1578 Commercial n9�, Permikting
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line O
PROPOSED IMPROVEMENT LOCATION;
Address: 6009 SANTA MARGARITO DR. FORT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES - PHASE TWO - (PB 43-33) LOT 404 (OR 2135-817)
Property Tax ID#: 1312-502-0154-000-6 Lot No. 404
Site Plan Name: HORVATH Block No.
Project Name: HORVATH
Setbacks Front Back: Right Side: Left Side:
D,ETAILED�DESCRIPTION''�QF�WORK:
INSTALLATION OF HURRICANE SHUTTERS-NINE(9)ACCORDION HURRICANE SHUTTERS.
CANS=TR:UCTION.[N;'FORMATION:
Additional work to be nerformed under this permit—check a appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 6,102.77 UtilitiesInSewer OSeptic Building Height:
OV1/N.ER/LESSEE: CONTRACTOR:
Name MARY L HORVATH Name:
Address: 6009 SANTA MARGARITO DR Company: D.V. T. HURRICANE SHUTTERS, INC.
City: FORT PIERCE State: FIL Address: 3100 N KING SHWY.
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No. 772-466-5255 Zip Code: 34951 Fax:
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.
fliI– I /I — -�� 1/aL:TCJ
bAvr IZ,,�Ia,_,A a
Sig at re of Owner/Lessee/Contractor as Agent for Owner Signature of, ontractor/ 'cense Holder
i
STATE OF FLOR D STATE OF FLft
LORIDA
COUNTY OF COUNTY OF o 10,
The forgoing inst ' me was acknowledge before me The forgoing instrl me was acknowledg before me
this�day of 20� by this_CA day of � 20 by
Name of perso aking statement Name of permaking statement
Personally Known OR Produced Identification Personally Known so OR Produced Identification
Type of Identific tion Type of Identification
Produced Produced
( ignatu a of Nota Pub is-State of Florida) (Signature of No Public-State of Florida)
Commission No \�`pY'ar,/`KAREN S N� LSEN Commission No. B1; N S•(� I�SEN
o r�4y c of Florida-fVotar
x State of Florida-Notary Public ;� app Commission #GG 207 ublic
*_= Commission #GG 207484 484
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June 12, 2022 20 2
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17