Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ; I e Nom_ 2-� E Z� �� Permit Number: \%*\a z -a 5-1 Z EREC:E1:VED Building Permit Applicatio ittingPlanning and Development ServicesBuilding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE:HURRICANE SHUTTERS PROPOSED IIVIPROUEME,NT LOCATION. Address: 39 LA VILLA WAY FORT PIERCE FL, 34951 Property Tax ID#: 1301-500-0643-000-1 Lot No.39 Site Plan Name: OMAR RESIDENCE Block No. Project Name: MICHAEL A. OMAR DETAILED DE5#CRIPTION�OF WORK `` INSTALLATION OF 11 ACCORDION SHUTTERS CONSTRUCTION iNfORMATIgN a . w-' 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:$ 7491.06 Utilities: —Sewer —Septic Building Height: OWNEF3/LESSEE ° CONTRACTOR >. NameMICHAEL A.OMAR Name:MIRIAM VAN TASSEL Address:39 LA VILLA WAY Company:DVT HURRICANE SHUTTERS INC. City: FORT PIERCE State:_ Address:3100 N KING HWY Zip Coder 34951 Fax: City: FORT PIERCE State:FL Phone No.772-672-4656 Zip Code: 34951 Fax: 772794-1590 E-Mail:omar39fl@comcast.net 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 CONSTRUCTION L'IfEN 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 contlict 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 OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of 1caner/Lessee/Contractor as Agent for Owner Signature of/Contractor/License Holder STATE OF FLORIDA STATE OF FLORIRA , COUNTY OF :�-�r. L% c, Vk COUNTY The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this'-C6 day of -u`!N K 20_q by this'- day ofT%l env ,20_%1, by 'M -%,c i q to -1 -, y.. �y 6S1 1 V%.,f d.+r. J 6.v" N%Sae. 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 V, V36i- Produced (Signature of Notaryblit-�eo � `;�p���G`Gb�o�+ �_ (Signature of Notary bllc , Fkfriiia ley'"'. ¢ ' ' RlE GIVEN" 9 ff N{{.G X0`1.0 1 DC+�NNA 0?20?3 d vCommission No. Gj}yecem deh' "�'''• YCOIhISS10N#G bl�oVn Commission N0. +�. ( ,b©r16.20i0 =�' R o 2 pu ^''� _ : = EXFIRf 5: rites �. A. Fie (hNCI ` '"'• c= dedlhNPlotaNPubllcUndertar 1 Bone REVIEWS FROONING SUPERVISOR PLANS VEGETA TfiOiV SEA TURTLE MANGROVE CO U NV REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.2/7/19