HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / 0
Date: Ui,, - 12 2(� Permit Number
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• JUN 12 2019
- Building Permit Applicvermitting
on
DePlanning and Development ServicesDepartment
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
PROPOSED,IMPROVEMENT LOCATION:
Address: 6211 Lilyan Parkway Fort Pierce, FL 34951
Property Tax ID#: 1301-609-0068-000-0 Lot No. 27
Site Plan Name: Curtis Smart Block No. 5
Project Name: Curtis Smart
DETAILED D€SCRIPTION.OF WORK:
INSTALLATION OF THREE (3)ACCORDION HURRICANE SHUTTERS
CONSTRUCT'ON INFORMATION: U
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:$ 1,863.85 Utilities: —Sewer —Septic Building Height:
OWNER/LESS'EE: . CONTRACTOR:
NameCurtis Smart Name: MIRIAM VAN TASSEL
Address: 6211 Lilyan Parkway Company: DVT HURRICANE SHUTTERS, INC
City: Fort Pierce State: Address: 3100 N KINGS HIGHWAY
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No.772-461-6313 Zip Code: 34951 Fax: 772-794-1590
E-Mail: 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.
SUPPLEMENT tL CO"NSTRUCTION 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
WIT OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT!'
Signature I
Owner/Lessee/Contractor as Agent for Owner Signature of ntractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF % COUNTY OF
The forgoing friptmivent was acknowledged before me The f9 May
in m nt was acknowledged before me
this day o 20by this 1�day of 2019 by
r7;dz�- Va rn� tv n TA� Z 1
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
(Signature of N ry Public-State of Flo ' a) (Signature of Not Public-Stat
Commission N ,Z AUDREY BB HUMGG301�
EY B.HI(IfVi�tEY Com ism $N# 6 2823 S I
MY COMMISSION#GG 300817 m :*_ EXpiRES:March ,
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OF F>•�p;• Pu
Bonded efMRlters '':F 'Fq�Y`'' Bonded Tutu o .
F °•' Bonded Thlu Notary
REVIEWS ISOR PLA SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19