HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 'Co z
RECEIVED
BUilding Permit Application NOV 0 7 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, P �10 P 9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential y.
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 9008 Short Chip Cir,Port Daint Lucie,FL 34986
Property Tax ID#:3334-501-0182-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Donna Madafferi
DETAILED,'DESCRIPTION OF WORK:
Install Hurricane Protection Products on 2)openings
CONSTRUCTION'IN FORMATION,
Additional work to be performed under this permit—check all that apply:
—Mechanical Gas Tank —Gas Piping XShutters Windows/Doors
Electric —Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$2486.79 Utilities: —Sewer —Septic Building Height:
OWNEk/LESSEE.. CONTRACTOR:
NameDonna Madafferi Name:Brian Rist
Address:9008 Short Chip Cir Company:Storm Smart Building Systems
City: Port Daint Lucie State:FL Ad d re ss:6182 Idlewild St
Zip Code: 34986 Fax: City:Fort Myers State FL
Phone No.(772)446-9288 Zip Code: 33966 Fax: 884-330-8277
E-Mail:CHEFSTREATS@HOTMAIL.COM Phone No 561-229-0048
Fill in fee simple Title Holder on next page(if different E-MailYSarzuela@StormSmartSE.com
from the Owner listed above) State or County License CRC056857
If value-of construction is$2500 or more,a RECORDED Notice of Cominencerrient is requited.
If value of HVAC.is$7,50D or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Add ress: 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 certifythat no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which!sin conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat 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 C F CPAMFNCEMENT.°
Signature of Owner/Les ee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA r
COUNTY OF et° C COUNTY OF =
The forgoing instrument was acknowledgedefore me The forgoing instrument was acknowledge before me
this q day of_— C�_--,20 qby this Z_"ay of 6-c-t 204 by
Don n a M a d a � � ----
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification_✓/ Personally Known_`� OR Produced Identificati
Type of Identifica ' n Type of Identification a\0A'acea��l� pi,
Produced ���_—_-- P duced_--- _ ��`ea�� JP.....[MEq�✓,d���
/ � .•°�or��ussroN•.F�
e ° ��(tUAR � A• m
� y Yesenia Sarzuela
{Signature o otary Public- ° N
1kE OF FLORIDA { i nature of Notary Public-State of o a e»3
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#GG317472 yA0910Commission No. 6 �11o mission No.��I7��I o e I ecltht� .`�e;••OPti,
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