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HomeMy WebLinkAboutBuilding Permit Application I All APPICABLE II��Q MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �Np 27, �019 Permit Number: i I • RFCFrED - Building Permit Application ocy-- 22Zo,9 Planning and Development Services perm . tp n Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 St' L"9e�oUnt,ent Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMITTYPE: HURRICANE SHUTTERS PROP®S'E5_©IIVIPRO,VE'MENT LOCATION: Address: 16503 OKEECHOBEE RD, FORT PIERCE, FL i Property Tax ID#: 3201-244-0040-000-8 Lot No. i Site Plan Name: OSIF 16503 OKEECHOBEE Block No. Project Name: OSIF 16503 OKEECHOBEE I ��:� x "� *xxa. � �u, DETAILED ®E-6SC=RIP�TI®N ®,F�W®RK INSTALLATION OF THIRTEEN (13) ALUMINUM STORM PANEL,HURRICANE SHUTTERS j i CONSTRU-TION INFORWTION Additional work to be performed under this permit—check all that appl L _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: p Sq. Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer _Septic Building Height: R/LESSEE -, CONTRACTOR . Name OSIF LLC Name: MIRIAM VAN TASSEL Address: P 0 BOX 14049 Company: DVT HURRICANE SHUTTERS, INC City:Fort Pierce State: rl— Address: 3100 N KINGS HIGHWAY j Zip Code: 34979 Fax: City: FORT PIERCE State: FL Phone No. 772-201-1230 Zip Code: . 34951 Fax: 772-794-1590 E-Mail: 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. _ l I I' li able A c Not Applicable 'l ENGINEER: COMPANY: Not A / _ pp MORTGAGE C _ pp I Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: i FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable,1 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. j 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. • I 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 W YOUR LENDER OR AN ATTORNEY BEFORE RECORDING TotW NOTICE OF COMMENCEMENT." Signature of caner/Lessee/Contractor as Agent for Owner Sign ure of Contras or/License Holder i STATE OF FLORIDA ( � p STATE OF FLORIDA r COUNTY OF 5�''4_ ��/VS_ COUNTY OF. 1 � The for oing instrument was cknowledged before me The f r oing instrument as acknowledge before me this 2day of 204 by this day of a 204 by i Name of person making statement. Name of person making statement. m Personally Known OR Produced Identification Personally Known OR Produced Identification i T e of I n ifi i n Type of Identification de t cat o YP YP I Produced Produced (� 1— VIry (Signature of Notary Public-State of Florida) (Signature of Notary Public-StatA Florida ��`+pYP��G]"ff9RflVM�"9u-rEnv15OR ELLEN GHN - ,a++�+���, ELL, VA�UGHN Commission No. a.P °o'• "� Commission No. :.►"fP�''� otary Public of Flori tory Public tate of FIV ommission #GG 270078Gdmr�IgslOn # bG 270079 Ibli F- firOctober 22, 022 ' n 2 1 REVIEWS PLANS VEGETA 9-1. Ryn-rfr— COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE i RECEIVED DATE COMPLETED iev.2/7/19 I I