HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ,
01(19
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F �0 0 <•. p �
-- Building Permit Ap icko °
Planning and Development Services Se
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Fl.34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7979 Plantation Lakes,Port Saint Lucie,FL 34986
Property Tax ID#:3321-803-0060-000-8 Lot No56
Site Plan Name: Voss Milloway Block No.
Project Name: Voss Milloway
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DETAILED DESCRIPTION OF WORK:
Install Hurricane Protection Products on(4)openings
Fi
CONSTRUCTION INFORMATION-
Additional workto be
NFORMATION:Additionalworktobe performed underthis permit–check all that apply:
_Mechanical _Gas Tank —Gas Piping X Shutters _Windows/Doors
X Electric —Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
747.00
Cost of Construction:$16,747.00 Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
NameVoss Milloway Name:Brian Rist., j
Address:7979 Plantation Lakes Company:Storin•,Smart-Buading;Systems
Port Saint Lucie FL 6182Idlewild'Sf= "+' `"
City: State:_ Address: :.
Zip Code: 34986 Fax: City:Fort Myers; : State FL
772 4 7-
6
33
Phone No.( ). 6633 Zip Code: 966 Fax: 884-330-8277
.BIGV@AOL.COM 561-229-04E-Ma
08
il. Phone No
Fill in fee simple Title Holder on next page(if different E-MailYSarzuela@StormSmartSE.com
from the Owner listed above) State or County License
CRC056857
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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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Ad d cess: 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 certifythat no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto build the subject.structure
Which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat 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 exemptfrom undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"YARNING 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 FINANCIING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO FCO MENCEMENT A
Signature of Owner/Lessee/Contractor as gent for Owner i re of Con6actor/Lkense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P[3 C COUNTY OF LEG
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of_S'e &W,20Iq by this d-1 day of S E PT 20 _a by
Voss M r 110 w a q �r, >�� �Z 5T-
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification V/ Personally Known - OR Produced Identification
Type of Identifi ation Type of Identification ,z;gI6tII90B9g
Produced roduced _ �a'�a� �NIMES�j1v,,
b� UAS��v t
�. s
esenia SarZUela tS F6Fz RYA o e
Y
(SignajiunNo.
ofWo ryCl" a a a
{S gnature of Notary Public-State o ri1- • 0
of STATE OF LORIDA :o
o ry 3�
Comni ?Comm;'f 7472 GCi 1 3 9)0 ® `opo �� 10
Co mission No. _ eal
wcE 19 Expires 3/28/2023 AGa `00au�d�w��e`•�\
3ga��A 4� �etia�'°
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MAN146VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19