HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�j/�
Date: - Z I Ig Permit Number:L a LZ
RECEIVED
Building Permit Application SEP 2 4 2018
Planningand Development Services
ST. Lucie County,
p tY, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 6006 LANTANA DRIVE, FORT PIERCE, FL 34951
Legal Description:
LAKEWOOD PARK-UNIT 10-BLK 134 LOT 1 (MAP 13/01 S) (OR 3416-694
Property Tax ID#: 1301-612-0373-000-1 Lot No. 1
Site Plan Name: ALFORD Block No. 134
Project Name: ALFORD
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF HURRICANE SHUITTERS (10) PANELS AND(1)ACCORDION f 6tI J
CONSTRUCTION INFORMATION:
Additional work to be ertormed under t ispermit—check all apply:
HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers FIGenerator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 4,462.89 Utilities:cnSewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CHARLES E ALFORD JR. Name: MIRIAM VAN TASSEL
Address: 6006 LANTANA DRIVE 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. 772-777-0500 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:
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 thepermit 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.
Tn-I N LAI ,I L (_
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Sign toe of Owner/Lessee/Contractor as Agent for Owner Signature Contractor/License Holder
COUNTY OF FLORIDA 5 ��Ca COUNTY OFSTATE OF FLORIDA
The forgoing instrument was acknowledged before me The forgoing instrument ps acknowl-edged efore me
this day of Se ,��e n^�JP�20 by this day of CO 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 Produced
(Signature of Notary Public-St f lorida ) __ - (Si n ture of Notary Public-Sta f Florida)
9
Commission No. (Seal) �"'""' Commission No. (Seal)
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REVIEWS FRONT ZONING I R PLANS VEGETATION SEA TURTLE MA
COUNTER REVIEWREVIEW REVIEW REVIEW R
DATE o o_ a►m
RECEIVED nota -n ti c O
DATE 0 12 C
COMPLETED v_.
Rev. 8/2/17 ��