HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:1 ;2019 Permit Number: �Ia\
RECEIVE®
COUNTY
OCT 3 5 �!�
_._ _ Building Permit Appleratio�nPlanning and Development Services cie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: HURRICANE SHUTTERS
PR®POSEDIMPROVEIVI#ENTz LOCATION`,z'
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
DETAI!LE® DESCR���I'PTI'®NOF W®ftK °5 Fs
INSTALLATION OF ONE (1)ACCORDION HURRICANE SHUTTER
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CONS�TRUC�TI'ON�INF®RMATI®N �� �' � -
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:$ 1,024.36 Utilities: —Sewer —Septic Building Height:
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�OWNERf LE�SSEE�: _ � � � ���, �.� �� :" CONTRACbTQR , • p'
Name INGRID STAUBER Name: MIRIAM VAN TASSEL
Address: 8 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. 772-618-3577 Zip Code: 34951 Fax: 772-794-1590
E-Mail: ingridhorst@att.net Phone No 772-794-1581
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.
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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 IMPROYEMENTS 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
WIT 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 ofCt6ntractor/License 14older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—e- COUNTYOF S)ir.
The forgoing instrument was acknowledged before me The for oing instrument_was acknowledged before me
this \Sday of Cb" ,20 1h by this �� dayof dpi' 20A by
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 Produced `' 4—
(Signature of Nota ublic-State of Florida) nature ofTNotg, a e o (Ip IEGpfMSS k MY COMMISSION#GG022023Commission No. �-'�- eaIbEAPINA GGO 2to fission N3 EXPIRES�r�6,24206.2 20 •'' BondedThNNotaryP IcUnderwrites
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REVIEWS FRONT Z q, RVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER EW REVIEW REVIEW REVIEW REVIEW REVIEW
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