HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/26/2019 Permit Number: `S��7
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FEB 2 6 2099
Building Permit Applic tion
Planning and Development Services Permuting Department
Building and Code Regulation Division St. LUCie CountYr FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: Hurricane Shutters
PROPOSED IIVIPROVEMENT LOCATION.:
Address: 6307 Lilyan Parkway Fort Pierce, FL 34951
Property Tax ID#: 1301-609-0072-000-1 Lot No. 28
Site Plan Name: Cynthia S Cook Block No. 5
Project Name: Cynthia S Cook
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DETAILED DESCRIPTION'OF WORK
Installation Of Five (5) Bahama Shutters
[_,C, NSflkUCT-jON INFORMATION: s$
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
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ *1.69 Utilities: —Sewer —Septic Building Height:
;OWNER/ SEE: a' COTRACTOR:
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Name Cynthia S Cook Name:Miriam Van Tassel
Address:6307 Lilyan Parkway Company:DVT Hurricane Shutters Inc.
City: Fort Pierce State: Address:3100 N Kings Hwy.
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-559-2169 Zip Code: 34951 Fax: 772-794-1590
E-Mail:ccrn123@aol.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.
SIJPPLEMENTAmL 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 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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Signature Owner/Lessee Contractor as Agent for Owner Signature Contractor/License Holder
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STATE O FLORIDA "�r: STATE OF FLORIDA
COUNTY OF �- °Jl`-�' COUNTY OF T` �—� � -
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The forgoing instrumprIt was acknowledged befor The forgoing instrume t was acknowledged before
this day ofL,-X-0,a' 20�yby X�r this day of ua�— 20� by m
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Name of person making statement. �o= Name of person making statement. Z m
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Personally Known OR Produced Identificat r °'"9 Personally Known OR Produced Identificati 'z
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Type of Identification !R�� Type of Identification mT=
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(Signature of Not Public-State of Florida) (Signature of NaVary Public-State of Flori a)
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
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