HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 111� Permit Number:_fqV
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- Building Permit Application
Planning
St CUc eDeuilding and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: Hurricane Shutters
PROPOSED IMPROVEMENT LOCATION
Address: 5627 Sunberry CIR Fort Pierce, FL 34951
Property Tax ID#: 1312-502-0168-000-7 Lot No. 418
Site Plan Name: Stolive LLC Block No.
Project Name: Stolive LLC
DETAILlbllbttCRIPTION Q'F,WORK
Installation of Nine (9)Accordion Shutters
CflNSTRUCTI0 I N FO RMATIO N::
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors
_Electric _Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6,162.21 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR
NameStolive LLC Name:Miriam Van Tassel
Address:5627 Sunberry Cir. Company:DVT Hurricane Shutters Inc.
City: Fort Pierce State:'�7l_ Address:3100 N Kings Hwy.
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-882-8286 Zip Code: 34951 Fax: 772-794-1590
E-Mail:Karjoyman@yahoo.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.
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Sl1PPLEMENTAL CONST�,llCTON C��N LAW IN;FORMATION '
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME T."
Signa ure f Owner/Lessee/Contractor as A ent f r. Signature o Contractor/License Holder �m
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ���cclL _ COUNTY OF L��``1- =Z 2,
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The forgoing instrument was acknowledged before
X The forgoing instrument was acknowledged before o �
this�day of TLA-- 20� by ¢>w this_U day of ��a w 20 by 60- 1
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Name of person making statement. 0. Name of person making statement. ¢a`•''`°bob
Personally Known ✓ OR Produced Identificatio Personally Known OR Produced Identificatio
Type of Identification Type of Identification
Produced Produced
(Signature of NcVyPublic-State of Florida (Signature of Notar ublic-State of Florida)
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
Rev.217119