HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: M' � Permit Number: ® I
® RECEIVED'-
R D -
Building Permit Application DEC 1 1 2019
Planning and Development Services
Building.and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: _SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 6312 SPRING LAKE TER
Property Tax ID#: 1312-503-0133-000-6 Lot No. 360
Site Plan Name: Block No.
Project Name: SHUTTERS
DETAILED DESCRIPTION OF WORK:
INSTALL 9 ACCORDION 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: $ 4,116.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name REBECCA LIND Name: THOMAS L PEASE
Address: 1346 PLATO CT Company: FLORIDA SHUTTERS INC
City: VERO BEACH State:_ Address: 1055 COMMERCE AVE
Zip Code: 32963 Fax: ' City: VERO BEACH State:FL
Phone No.772-559-6913 Zip Code: 32960 Fax: 772-567-3674
E-Mail:rebeccalind@yahoo.com ..-Phone No 772-569-2220 •:.
Fill in fee simple Title Holder on next page (if different E-Mail daniela@floridashuttersinc.com
from the Owner listed above) State or County License CBC015453
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 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 ORA TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signatur of caner/Lessee Con ractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOR DA STATE OF FLORI A
COUNTY OF I i(1U 0,,-Q Z�e 12 COUNTY OF�(e �C� n Y r Lu
The forgoing in ment was acknowledged before me The forg ing instrrt ent was acknowledged before me
this day of i V 20A by this ay.of �✓ 20� by
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Name of person making st tement. Name of person making statement.
Personally Known -'--�OR Produced Identification. Personally Known 4-�011 Produced Identification
Type of Identification Type of Identification
Produced Produced _
(Signature of Notary Public-State of Florida ) (Signature of Not
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