HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED pp p, }
Date: c1 2 I )
1 C) C Permit Number: l D✓ ��
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COUNTY - RECEIVED
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�F_WellilliallEMINMENINIW Building Permit Application ldAY 211019
Planning and Development Services permitting Department
Building and Code Regulation Division Stl ucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:Hurricane Shutters
PROPOSED 1 Nip RbVE M EiSit LOCATION,., •.: _. .
Address: 5401 Eagle Dr. Fort Pierce, FL 34951
Property Tax ID#: 1312-801-0072-000-5 Lot No. 269
Site Plan Name: Hall Block No.
Project Name: Marilynn Hall
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DETAILED DESCRIPTION O:F WORK
Installation Of Four(4)Accordion Hurricane Shutters
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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
Total Sq. Ft of Construction: Sq. Ft.of First Floor: 1
Cost of Construction:$ 1,420.95 Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE:,,... ;.,. CONTRACTOR ,,:, ,u ,!.. -
Name Marilynn Hall Name:Miriam Van Tassel
Address:5401 Eagle DR Company:DVT Hurricane Shutters Inc.
City: Fort Pierce State Address:3100 N Kings Hwy.
Zip Code: 34951 Fax: City: Fort Pierce State:FL i _
Phone No.772-465-4781 ! Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No772-794-1581
Fill in fee simple Title Holder on next page(if different E-Maildvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License24394
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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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SUPPLEMENTAL CONSTRUCTION sLIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable'
Name: Name:
Address: Address: I
City: State: City: State:
Zip: Phone Zip: Phone: I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone: I
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OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indiicated.
I certify that no work or installation has commenced prior to the issuance of a permit. I
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 o; Owner Lessee .ntractor as Agent for Owner Sire of ntractor/License Holder
lgn � / / g g /
STATE OF FLORIDA STATE OF FLORIDA �� �
COUNTY OF 3c-- CLQ COUNTY OF
The fo Poing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this "\day of 5 ,20� by this al.day of MA-4-3--__ 20 n by
'R(f° 11 Vqn la c5--el- rr n1 oLn-\V Qc) -761-3SJ
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification I
Type of Identification Type of Identification
Produced (-L- DL- Produced Ft Dl---
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(Signature of otary Public-State of Florida) (Signature of Notary Pub ic-State of Florida)
Commission No. �tPaYP�e E �e� VAUGHN Commission No. �Pie,; EN VAUGHN
,'0g% State of Florida_Notary Public _i�1 *_State of Florida-Notary Pu lic I.
%+.'ll 'enc My Com fission Expires "'%2I I I'rAs M Commissi I ires9
REVIEWS FR* �'� '70NINgctob:r RgRSOR . PLANS VEGETATION °,1.4"44-14. 1,oct. ?a,RR
COU - r " t 'iV ,. . .: REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19