HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application JtIN261olq
Planning and Development Services Permitting D(
,Pa and Code Regulation Division St. i ucie r npment
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:STORM PROTECTION
PROPOSED IMP'ROVEMENTiOCATION"
Address: 2971 BENT PINE DR.
Property Tax ID#: 1327-701-0043-220-0 Lot No.33
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION.OFWORK:
INSTALL Al ACCORDION SHUTTERS
i�
N
CONS CRl1CTION INFORMATION: -
Additional work to be performed under this permit–check all that apply:
—Mechanical _Gas Tank _Gas Piping Shutters ^Windows/Doors
Electric —Plumbing u Sprinklers _Generator ,Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5700• Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE a CONTRACTOR:
NameDRU HILSON Name:MATTHEW MARKS
Address.2971 BENT PINE DR Company:EAST COAST ALUMINUM
City: FORT PIERCE State: Address:913 EDWARDS RD
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.293-1037 Zip Code: 34982 Fax: 772-464-7603
E-Mail: Phone No772-464-7600
Fill in fee simple Title Holder on next page (if different E-Mail ECAPINC@7a HOTMAIL.COM
from the Owner listed above) State or County License24526
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.
i
SUP.PLEIVIENTAL.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 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 Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S L.UetIE COUNTY OF ST L.UC%F—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-Wtay of J"LmC , 20� by this day of .Tl[NC 20/9 by
MATTkEW NrA/Z kS WE 14F-W MAPUr e. -
Name of person making statement. Name of person making statement.
Personally Knowny OR Produced Identification Personally Known 1_ taOR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-S ature of Notary Public-S te,,otfigida ) DONALD M.HOLNIA
" DONALD M.HOL'MA
MW;
Notary Public-State of FI rl. N tary Public-State of F oridanCommission No.FF t Loo * *(3ea� o fission No. t=q t3Z4o ; • SeSb}nmission#FF 9132 0
« , ommission#FF 913 4�8
My Comm.Expires Sep 20 2019 �•;� °P°;' My COMM.Expires Sep 20,2 9
R=led fteugh National N�•. °FFt��`, "°1eF%%% Bonded n.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19