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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U Q
Date:
{Py l f Permit Number:O'INd 0� �l 1
COUNTY
• R I D A RECEIVED
- Building Permit Applica ion
Planning and Development Services APR 0 9 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 T. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resiaet—X
PERMITTYPE: HURRICANE SHUTTERS
PROPOSEQ:IM4PROVEMENT LOCATION
Address: 9407 WINDRIFT CIRCLE, FORT PIERCE, FL 34945
Property Tax ID#: 2310-500-0019-000-9 Lot No. 2
Site Plan Name: JIM GARRON Block No. 1
Project Name: JIM GARRON
--DILED DESCRIPTION OF WORK `
INSTALLATION OF NINE (9)ACCORDION HURRICANE SHUTTERS AND
TWO (2) GEAR OPERATED ROLL-UP HURRICANE SHUTTERS
CO,NSTRUCTIQN INFORMATION:
Additional work to be performed under this permit–check all that ap ly:
_Mechanical'` _Gas Tank _Gas Piping Shutters _Windows/Doors
Electric; , _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Co,h9truction: Sq. Ft.of First Floor:
Cost of Construction:$ 6,221.97 Utilities: —Sewer _Septic Building Height:
O#WNER/LESS7,7"EE r"CONTRACTbR:
Name JAMES J GARRON Name: MIRIAM VAN TASSEL
Address: 4600 KARA CT _ Company: DVT HURRICANE SHUTTERS, INC
City: Commerce Township State: l Address: 3100 N KINGS HIGHWAY
Zip Code: 48382-1088 Fax: City: FORT PIERCE State: FL
Phone No.248-252-7366 Zip Code: 34951 Fax: 772-794-1590
E-Mail: ryderhd555@gmail.com Phone No 772-794-1581
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 243974
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 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 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 OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
T�
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co tractor/License Holder
STATE OF FLORIDA I STATE OF FLORID
COUNTY OF SN L-y c`P- COUNTY OF S
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of by this day of IN p C'�1 20)1 by
VV% r_o a.4,- -)d►r �C rg,3SQ` `(� -i -,d ws1 J
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 Ig- L L—
(Signature of Notary P lic-State of Florida (Signature o0121"
r,0N MARIA GN�NSv�y3�••, tA1SS1014#G
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