HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O
Date: November 14, 2019 Permit Number: .
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. DEC 04 2019
Building Permit Applicati n
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: 227 OLSON AVENUE, FORT PIERCE, FL 34946
Property Tax ID#: 1433-502-0015-000-2 Lot N0
Site Plan Name: MOHAN Block No.
Project Name. MOHAN
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ELEVEN (11)ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping V Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3,618.23 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name CALVIN MOHAN Name: MIRIAM VAN TASSEL
Address:227 OLSON AVENUE Company: DVT HURRICANE SHUTTERS, INC
City: Fort Pierce State:LL Address: 3100 N KINGS HIGHWAY
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No. 772-577-1603 Zip Code: 34951 Fax: 772-794-1590
E-Mail: calvmohan@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 Counter 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 YOURS OTICE OF COMMENCEMENT."
Signature of/Owner/Lessee/C tractor as Agent for Owner Signatureo Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA L / . ,,,
COUNTY OF C/ COUNTY OF > l�Xi��
The f r oing instkment was acknowledge before me The f r oing ins umen was acknowledged before me
this day of 20 by this day of _ 20�y by
Name of per-soon making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known I,/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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