HomeMy WebLinkAboutBuilding Permit Application J
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �y
Date: August 27, 2019 Permit Number: C/O �� �J 71(o
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--_. Building Permit Application AU02�
Planning and Development Services eS itti' ®
Building and Code Regulation Division t <pce�epart
2300 Virginia Avenue,Fort Pierce FL 34982 CX
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE: HURRICANE SHUTTERS
PROPOSED I'MPROVEM.ENT LOCATION:
Address: 8 Danzar Fort Pierce, FL 34951
Property Tax ID#: 1301-500-0249-000-9 Lot No.8
Site Plan Name: Stauber Block No.
Project Name. Stauber Residence
DETAILED DESCRIPTION617-WORK",
INSTALLATION OF EIGHT (8)ACCORDION HURRICANE SHUTTERS
CONSTRUCTIONINFORMA
ION
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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:$ 3,076.56 Utilities: —Sewer —Septic Building Height:
OWNER/LESS'EE CONTRACTOR:
Name INGRID STAUBER Name: MIRIAM VAN TASSEL
Address:8 DANZAR Company: DVT HURRICANE SHUTTERS, INC
City: Fort Pierce Stater Address: 3100 N KINGS HIGHWAY
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No.772-618-35771 '' Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No 772-794-1581 j
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 243W,�
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.
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DESIGNER/ENGINEER: Not ApplicableMORTGAGE 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."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature bf Contractor/License Holder
STATE OF FLORIDA
COUNTY OFSTATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_2a day of 01
` r 204, by this 24 day of 20_R by
r�A-) V GIY1�Cb`Y�C�[ CAW \l�J7ra
Name of erson making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification( Type of Identification
Produced o 1 l Produced
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(Signature of NotaryP lic-;State of Florida) (Signature of Notary Pub is-State of Florida)
Commission No YPU LLEN GHN Commission No (Seal) j
State of Florida-Notary Public ELLEN VAUGH
�^ o on a-Nota y Public
y Commission �09�Vires =' o i i O
REVIEWS �R ZONINC_22, 1PER OR PLANS VE � M bnGE p A OVE
REVIEW `"� x�6�2, 20 2 BVI W
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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