HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `�i Ir�r�1 7 1� Permit Number: - g'—
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-- � - - Building Permit Application AUG 17 2-918Planning and Development Services
Building and Code Regulation Division Permitting o e. a rt�a�D�
2300 Virginia Avenue,Fort Pierce FL 34982 p ^
Phone:(772)462-1553 Fax: (772)462-1578 Commercial R Sldtl2lle Corl y, FL
PERMIT APPLICATION FOR: Shutter
R.�PRC+P.OSED IMPROVEMENT LOCATION
Address: 2671 CONIFER DR., FORT PIERCE, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB-UNIT TWO- LOT 199 (OR 37321-986)
Property Tax ID#: 1334-502-0080-000-4 Lot No. 199
Site Plan Name: COWAN Block No.
Project Name: COWAN
Setbacks Front X Back: X Right Side: Left Side:
DETAILED DESCRIPTI 0N,OF WORK
INSTALLATION OF(2) NAUILUS;- Ow )4 77VA
CONSTRUCTION-INFORMAT(ON
Additiona I work toe e orme under this permit—check a appy: f
HVAC fl Gas Tank Gas Piping `�Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5853.00 Utilities:cnSewer Septic Building Height:
OWNER/LESSEE t. CONTRACTOR
Name PETER COWAN Name: MIRIAM VAN TASSEL
Address: 2671 CONIFER DRIVE Company: DVT HURRICAN SHUTTERS INC.
City: FORT PIERCE State:FL Address: 3100 N KINGS HWY
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.360-770-8883 Zip Code: 34951 Fax: 772-794-1581
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$2500 or more,a RECORDED Notice of Commencement is required.
_-$QPPLEMENTAL CONSTRUCT..ION.-.LIENAAW INF.ORMATIO.,N
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
commenci_ag work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner (Q)d0fureontractor/License Holder le"«
STATE OF FLORIDA (( ?$' STATE OF FLORIDAr "-
COUNTY OF ST- ] '- COUNTY OF �T• `FAQPa,;*
The forgoing instr ment was acknowledgefl Lefoi we The forgoing instru nt was acknowledged before me a 5<o
this day o 20 by k m� this day of 20 by z m
P, S i° l` m15*-� � v w2
Name of pers making statement �z 3o s Name of person ing statement ;T
Personally Known OR Produced Identifica O�`� Personally Known / OR Produced Identification
Type of Identification N-n Type of Identification N
Produced Produced!N
(Signature of Notary lic-State of Florida) (Signature of Nota y ublic-State Florida of )
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