HomeMy WebLinkAboutBuilding Permit Application All APPLICA LE I.NEO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �2019 Permit Number:
RECEIVE®
•
Building Permit Applicati n OCT 1 b 7 J,9
Planning and Development Services ST. Lucie 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
PROP®SE® I�'IVIPR®�VEMENT�LO'CATION ✓
Address: 4410 Avenue O, Fort Pierce, FL 34947
Property Tax ID#: 2406-507-0008-000-4 Lot No. 19-21
Site Plan Name: Jennings Block No. 4
Project Name: Jennings Residence
VC
®ETA : 1IILEWK '� r
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INSTALLATION OF NINE (9) HURRICANE SHUTTERS:
One (1) Nautilus Hurricane Shutter, One (1) Colonial Hurricane ShutterSeven (7)Accordion Hurricane Shutters
®NSaTR+ IO N I N! RMAT�I®N:
Additional work to be performed under this permit–check all that appI .
_Mechanical _Gas Tank _Gas Piping VShutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 10,674.98 Utilities: —Sewer _Septic Building Height:
t
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NE'q T EE�!: ;CONTRACTOR
Name LARRY JENNINGS Name: MIRIAM VAN TASSEL
Address: 4410 AVENUE O Company: DVT HURRICANE SHUTTERS, INC
City: Fort Pierce State: Address: 3100 N KINGS HIGHWAY
Zip Code: 34947 Fax: City: FORT PIERCE State: FL
Phone No.772-618-3577 Zip Code: '34951 Fax: 772-794-1590
E-Mail: tango12goup@hotmail.com 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.
S.mUPPLEMENTAL C NSTRUCTI;ON:LIEN LAW IIV.FORMATION:
15
. �.
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
WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature�of Owner/Lessee/ton tractor as Agent for Owner Signature of ntractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—'- L vCAIZ. COUNTY OF -e,,.
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this \ day of Cb" ,20� by this V3 day of dpi' 20NI by
t.'.r:r.� y �-' IItk e I
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
(Signature of Nota ublic-State of Florida) nature of Not - a e o fM"IEGNENS
iyou'.,
F;:..,4 ,,,
M�IE GNENS =�' MY COMMISSION#GG 022023
Commission No.�c�-•�-d eaI�EANM ION#GG 02 20 o fission No. G 1 3 EXPIRES:C( r16,2020
.1 ou ,�, MY COM ISS mbet 16 2 '�:FodF�°°`' Bonded Th"Notary Pub 1c Underters
':*= EXPIFES:Dec� IlcUnd lots
Bond 3dThm
REVIEWS FRONT RVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER EW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/1/19