HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: a Ig 1, •� •
RECEIVED
1.
Building Permit Application JUN 19 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 yr
Phone:r(772)462-1553 Fax: (772)462-1578 Commercial Kesidentlal
PERMIT TYPE:Hurricane Shutters
FROPO$ED IMPROVEMENT LOCATION ' ''_'
Address: 2 Danzar Fort Pierce, FL 34951
Property Tax ID#: 1301-500-0243-000-7 Lot No.
Site Plan Name: Evelyn D McLean Block No.
Project Name: Evelyn D McLean.
DETAILED DESCRIPTION OF WORK
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Installation of Nine (9)Accordion Hurricane Shutters
CONSTRUCTION 1NF'ORMATION': =
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Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6894.05 Utilities: _Sewer —Septic Building Height:
CIWNER/LESSEE CONTRACTOR
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Name Evelyn D McLean Name:Miriam Van Tassel
Address:2 Danzar 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.267-334-3924 Zip Code: 34951 Fax: 772-794-1590
E-Mail:lynnmclean4000@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 LEEN Lr41N 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 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."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ohtractor/License Holder
STATE OF FLORIDA i STATE OF FLORIDA
COUNTY OF COUNTY OF
A_
The forgoing instru ent was acknowledged before me The forgoing instr ent was acknowledged before me
this] C day of 20jQ by this day of 20_O,by
S mess 1
Name of person making statement. Name of person making statement.
Personally Known %.� OR Produced Identification Personally Known L-"� OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of•Nota y Public-State o F orida (Signature o Not r PuPk-State o ori )
Commission No Commission N AU REYB.HUtY
MY COMMISSION#GG 300817 m? MY COMMISSION#GG 300817
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F•••o?: Bo ed Thru Notary Public U erwriters is
REVIEWS Bond blic�n e ISOR PLANS VE GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19