HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J 0 �Q r
Date: Permit Number;- �(o
RECEIVE
JUN 19 2019
Building Permit Applicz 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
PROPOSED LMPROUEMENT LO=CATION ,.
Address: 32 San Roberto Fort Pierce, FL 34951
Property Tax ID#: 1301-500-1030-000-8 Lot No.32
Site Plan Name: Harold F Reichman Block No.
Project Name: Harold F Reichman
DETAILED DESCRIPTION,OE.WORK k':e
Installation of ten (10)Accordion Hurricane Shutters
CONSTRUCTION INFORMATION
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping XShutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 7,633.49 Utilities: —Sewer —Septic Building Height:
QWNER/LESS',EE 54 CONTRACTOR
,.
Name Harold FM1Reichman Name:Miriam Van Tassel
Address:32 San Roberto Company:DVT Hurricane Shutters Inc.
City: Fort Pierce State:V1.. Address:3100 N Kings Highway
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.848-807-7413 Zip Code: 34951 Fax: 772-794-1590
E-Mail:1018mickeymouse@gmail.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.
SUPPLEMENTAL}CONST,RUCTION 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Y)lZ-li 'cam�45J C45
Signature 6f Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S�- � COUNTY OF
The forgoing instr nt was cknowledg d before me The forgoing in ru nt was acknowledged before me
this o day of 2, R by this A day o 20,!�J.by
An
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
( ignature of Not r)r P 11ic- nature of N ry Public-State of Flori a)
•^ryr>'.•.,, AUDREY B.HUMPHREY
Commission r' MISSION(16@01$00817 ;•i!fY?.' AUDREY B.HU R�
Commission "�'- 817
• *' 2023 Y COMMISSION#
EXPIRES:March 6, '* '*° 2023
o � Public Underwriters =mom• off= EXPIRES:March 6,
••.Fds F Bonded ThN Public rwn e
REVIEWS FRONT ZONING SUPERVISOR PLANS V URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19