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HomeMy WebLinkAboutBuilding Permit Application All APP�CBLE�lNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��yy Date:' kZV 2019 Permit Number: 1"1� � ( 01 .1 Building Permit Application Planning and Development Services r .L119 DePa rt Buildingand Code Regulation Division st cie C Unty est 9 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMITTYPE: HURRICANE SHUTTERS PROROSED, IMJPROVEMENT LOCATION: Address: 5504 PALEO PINES CIRCLE, FORT PIERCE, FL 34951 Property Tax ID#. 1312-500-0047-000-7 Lot No. 46 Site Plan Name: MAHON Block No. Project Name: MAHON RESIDENCE DETAILEDb.ESSCRIPTION#OF;WORK: INSTALLATION OF TWO (2)ALUMINUM STORM PANEL HURRICANE SHUTTERS E7.As. C©NSTRUCTRf IOWINFOVIATION: Additional work to be performed under this permit–check all that a7S-h ly: _Mechanical _Gas Tank _Gas Piping _ utters -Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 1,210.02 Utilities: —Sewer —Septic Building Height: CRI NE+,R/LESSEE x CONTRACTOR: Name MICHAEL MAHON Name: MIRIAM VAN TASSEL Address: 5504 PALEO PINES CIRCLE Company: DVT HURRICANE SHUTTERS, INC City: Fort Pierce State:FL Address: 3100 N KINGS HIGHWAY Zip Code: 34951 Fax: City: FORT PIERCE State: FL Phone No. 603-562-6308 Zip Code: 34951 Fax: 772-794-1590 E-Mail: mmmmahon@comcast.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. i SPP E�E TAIL ®aNSTR�UC�TfON LIf�N�LAW;INFORMATIO,N: 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 thepermit 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 W YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YptW NOTICE OF COMMENCEMENT." Signature of caner/Lessee/ ntractor as Agent for Owner Signature of Cntrac or/License Holder STATE OF FLORIDA C STATE OF FLORIDA COUNTY OF �3�'��G�_ COUNTY OF /�- The for oing instrument was cknowledged before me The f r oing instrument as acknowledge before me this `L"Lday of 2010[ by thidZL day of 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 _ (Signature of N n Public-State of Florida) (Signature of Notary Public-State\et Florida ��++pYP���i ELLEN,�! GHN ,+++i+���, ELL�� V�+UGHN Commission No. ..P °a= of Floridkbry Public Commission No. ;i�RYP� *= Commission # GG 270079 _ tate of FIb�R�llNotary Public yy _• t comml§§160 bG 270079 �• '�, � IOti ��c fires October 22, 022 '�'�a,u, �` �dE�b®r2 '2 REVIEWS OR PLANS VEGETA COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev. 2/7/19 i I I