HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED eU
Date: ��►/ � 4 W01 Permit Number: 1
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Building Permit Applicatio NOV 14 2019
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
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 INDRIO ROAD, FORT PIERCE, FL 34951
Property Tax ID#: 1314-231-0002-000-1 Lot No.
Site Plan Name: DOMINICK SCOTTO Block No.
Project Name: DOMINICK SCOTTO
DETAILED;DESCRLPTI;ON OF WORK
INSTALLATION OF FOUR (4) BAHAMA SHUTTERS
CONSTRUCTION'INFORMATION:
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:$ 2,718.76 Utilities: —Sewer _Septic Building Height:
.OWNER/LESSEE., CONTRACTOR:
Name DOMINICK SCOTTO Name: MIRIAM VAN TASSEL
Address: 8600 INDRIO ROAD Company: DVT HURRICANE SHUTTERS, INC
City: FORT PIERCE State: 1/ Address: 3100 N KINGS HIGHWAY
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No. 772-519-0980 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.
311M #.
DESIGNER/ENGINEER: T 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:
ity: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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR-NOTICE OF COMMENCEMENT."
Signa#ure o caner/Lessee/C ntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF y La ir, COUNTY OF t
The fo oin instr m nt w acknowledge before me The fo oing instrum t was acknowledge efore me
this day of 21 M by this day of 20�by
All I&SSLL -MI-gym J: 9�L
Name o m
person making statement. Nae of person making statement.
Personally Known._OR Produced Identification Personally Known 1/ OR Produced Identification
Type of Identification Type of'Identification
Produced Produced
�_�Abj il , I— R KAI_ . 1� � .111� —
{Sig ature o Nota Public-State of Florida) (Signature of to u 'I _s S i
" ' ELSEN
KAREN S. �� SgN =_° �' State of Florida-Notary Public
Commission N .:`t�' °�d'. Commission N =* Commission#(§� p7484
Florida-NNotarry Public ,;,F P��� y ommission Expires
* Commission #GG 207484 '"°.i��� June 12, 2022
June 12, 202
REVIEWS ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW ' REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 19