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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --1-All . '1 Z ZD I 1 Permit Number: t — 0/� Date: I ,Sau l00 ai !� � Wawveda6 BulMuJad COUNTY OLOZ g g Ndf ,, L O R. t b A - Building Permit Application 03AI333a Planning and Development Services 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: �e y'.ri c��n-e - ��..'c�e V�S _- PROPOSED;IMPROVEMENT LOCATION .. -': Address: 7602 Santa Rosa Place, Fort Pierce, FL 34950 Legal Description: LAKEWOOD PARK-UNIT 4- BLK 39 LOTS (MAP 13/11 N) (OR 3622-2434) ti Property Tax ID#: 1301-604-0209-000-6 Lot No. I Site Plan Name: Richard Mortati Block No. Project Name: Richard Mortati Setbacks Front Back: Right Side: Left Side: DETAILED-,DESCRIPTION-_(-WORK:' - Installation Of Eight(8) Bahama Hurricane Shutters CONSTRUCTfON INFORMATION Additional work to be performed under this permit—check all;ha apply: IIIHVAC _Gas Tank HGas Piping NiI Shutters Q Windows/Doors ElElectric ❑ Plumbing Sprinklers 0 Generator _Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: 6,443.65 ' Cost of Construction:$ Utilities: Sewer El Septic Building Height: OWNER/LESSEE ti CONTRACTOR: .n. Name Richard Mortati Name: Miriam Van Tassel Address:7602 Santa Rosa Pkwy Company: DVT Hurricane Shutters, —•1-nc-- • City: Fort Pierce State:FL Address: 3100 N Kings Highway Zip Code: 34951 Fax: City: Fort Pierce State:FL Phone No.954-895-6597 Zip Code: 34951Fax: 772-794-1590 E-mail:mortati7@gmail.com Phone No. 772-466-4575 Fill in fee simple Title Holder on next page(if different E-mail: dvthurriacaneshutterinc@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. - . .. - - ,. - - - _ - , r�. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: !I Address: Address: 0 City: State: City: State: II Zip: Phone Zip: Phone: 11 u FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: ip City: City: 11 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, Ij 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 your Notice of Commencement. /7 tAlle_3,-R_-) (icz.,__k_.\ 'c=:------Q.._. ,,,,,, ISI,„ \ ignatu a of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder STATE OF FLORIDASTATE OF FLORIDA ' COUNTY OF 5�• his-e_k_q., COUNTY OF - -`."--a_k_SL The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 22-day of ;��)-.,%." ,20'llby this-2----day ofa o.--� ,20 1,by M,r% 04 \ w, �.,., N I r I GVv� 4 v-----\cA, %-e 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 Nota (Signature i -State of Florida) „"",�' ELLEN VAUGHN '�`°�YP` vIli: ELLEN VAUG Commission No. -? i,; ,^State of Flgqggi Notary Public Commissie °e: of E4orlde•NotarirPu�lic • s i Ain Cxnmiseran 0©€� 270070 ,`��- StetA a My CarnrnIselor1 Eyxpir0s ,�,, ,P� Commission GG 270078 �_ ()Mbar 22 2022 ,7,',', i��;�� My Commission Expir©s i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I •NGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 - i .