HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ���
Date: `Pg.Zb, 2�� Permit Numbe : '
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FEB 2 '6 2019
Building Permit Applic tion
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: Hurricane Shutters
p.ROPOSED tIVIPROUEMEIVT LOCATIONIM
Address: 5615 Sunberry CIR Fort Pierce, FL 34951
Property Tax ID#: 1312-502-0165-000-6 Lot No. 415
Site Plan Name: Stolive LLC Block No.
Project Name: Stolive LLC
Y DETAilfD DESCRIPTION C?F WORK , ' ',
Installation of Eleven (11)Accordion Shutters
CONSTRUCTIQN INFORMATION
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping )L Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6814.65 Utilities: —Sewer —Septic Building Height:
CONTRACTOR
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NameStolive LLC Name:Miriam Van Tassel
Address:5615 Sunberry Cir. Company:DVT Hurricane Shutters Inc.
City: Fort Pierce State: T7L 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 License 24394
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.
SUPPLEMENTAL CONSTRUCTION�LIfN LAIN INFORMATION
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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 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."
Signatur of Owner/Lessee/Contractor as Agent for Owner Sig a re of Contracto/License Holder
STATE OF FLORIDA "0':5
STATE OF FLORIDA `` "
COUNTY OF ' > COUNTY OF �+ �u-e,t9 N
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The forgoing instrument was acknowledged befg The forgoing instrument was acknowledged before m
this��day of 20��by m�� this � day of 'o. 20\"I by
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Name of person making statement. m Name of person making statement. a oX
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Personally Known �OR Produced Identific iQ :*` Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification «:lobo
Produced Produced
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(Signature of 66tary Public-State of Flo a V (Signature of Notary 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. 1