HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02-15-2019 Permit Number:
M.V on
16
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- - - - -- - Building Permit Applic tion FEB 1 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 yr
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi entla
PERMIT TYPE:HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 4400 Redwood Dr. Fort Pierce, FL 34951
Property Tax ID#: 1313-502-0007-000-4 Lot No.430
Site Plan Name: Joseph B Gallaher Block No.
Project Name: Joseph B.Gallaher
{DETAlt'06.DESCRIPTION' F'WORK:
Installations Of Two (2) Lexan Panels And One (1)Aluminum Panel
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
I
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ $1084.82 Utilities: —Sewer _Septic Building Height:
QWNE./LESSEE CONTRACTOR:
NameJoseph B Gallaher Name:Miriam Van Tassel
Address:4400 Redwood Dr. Company:DVT Hurricane Shutters Inc.
City: Fort Pierce Stater Address:3100 N Kings Hwy.
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-559-3.184Zip Code: 34951 Fax: 772-794-1590
E-Mail:lgalla1064@hotmail.com Phone No772-794-1581
Fill in fee simple Title Holder on next page(if different E-Mail dvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License24394
If value of construction is$2500 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.
SUPPLEIVIE TALrC®'NS�TRUCTIfONLI'EN LA W'IN�FORMATION:
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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 Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure
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which is in conflict with an applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
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structure.Please consult with your Home Owners Association and review your deed for any restrictions which ma y pp .
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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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signatur of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA - STATE OF FLORIDA L
COUNTY OF 5� ��-c%-�� COUNTY OF SI` yr Ft�_.2
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The forgoing instrument was acknowledged before m ; � he forgoing instrument was acknowledged before methis day of =��r�or 20��by i o his 1,5dayof 1—R�r��r 20 1�by 2 '
Yc1%,1,1 Voen��.���� � e \"\� . 0.5 wz`
Name of person making statement. >,;; ame of person making statement.
Personally Known OR Produced Identification rsonally Known OR Produced Identification
Type of Identification =z°' a pe of Identification
Produced ' - oduced °
(Signature of tary Public-State of orida) (Signature of N ry Public-State of Flo ida)
Commission o. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2-17119