HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _)ctr). 2-0\ ( Permit Numberig 1/- OLfat9
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Building Permit Applicatiolip,ittin9,,
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Planning and Development Services Cott:
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: \
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Address: 2013 Lynx DR, Hutchinson Island, FL 34949
Property Tax ID#: 1425-620-0013-000-6 Lot No.20
Project Name: Gary D Brunner
%..OETAILEIYOESCIRIPTIONbr:WoRK:-: , • „
Installation Of Nine (9)Accordion Hurricane shutters And Three(3) Bahamas Hurricane shutters
--:.tOgSTRUCTION.'„IN FORMATION
Utilities: Sewer Septic Sq. Ft. of First Floor:
Cost of Construction:$ 6067.47 Total Sq. Ft of Construction:
-f,FLOODPLAik--.DEV, LOPMENT:PERMiTfor structures exempt from Building Code that are in the
Nonresidential Farm Building: Temp. Bldg./Shed used
exclusively for construction
Mobile/Modular for temp. construction office: Bldg. diStril.i. of electricity:
Other: Flood Zone:_ BFE: Y,No Rise Certificate with supporting data attached?V/N All otherapplicable state and federal permits shall be obtained prior to commencement of
OWNER/LESSEE:
Name GarY D Brunner Name:Miriam Van Tassel
Address: 2013 Lynx Dr. Company:DVT Hurricane Shutters Inc.
City: Hutchinson Island State: ._ Address:3100 N Kings Hwy
Zip Code: 34949
Fax: City: Fort Pierce State:FL
Phone No.937-416-0495 Zip Code: 34951 Fax: 772-794-1590
. 1
Ewail:gary.burnner@sbcglobal.net Phone No772-794-1581
Fill in fee simple Title Holder on next page(if different E-Maildvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License 24394
If value of construction is$250 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 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
commending work or recording your Notice of Commencement.
XY. "-RN
Signature of wner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA q • STATE OF FLORIDA
COUNTY OF A - l Sl, COUNTY OF s*-
The forgoing instrument� was acknowledged before me The forgoing instrument was acknowledged before me
this"2:2—day of ,i)�,I ��,r ,20 te\by this -2-"2-day of �0.�.,,e,r - ,20 Ili by
p t�i�lgNn VOIh -gs,<,1 ( ✓eGm 14)-1 Cf
Name of person making statement. Name of person making statement.
Personally Known b OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced__
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(Sign. ° RDA : o i:a- ota da] (Signatur Y ,..�«�:_,._�:..::.
��� ry Public = ,��P� E EN VAUGHN
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�•_ Commission # GG 270 ° g
?'�•i �.,rg� M g . i�4�_State ct Florida-Notar�y�g�glic 1
Corn s �� y Commission Expir ali Commissi. "�* Comrni��on #GG 27UQ�tj
October 22 2022 '�11'11
o�,fnoQ; My Con.rnission Expires
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.1/9/2019