HomeMy WebLinkAboutBuilding Permit Application ('N V
P ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb Irks
PC— E—
RMI W DEC 13 2019
Building Permit Applicatio Permitting bepartment
Planning and Development Services
Building and Code Regulation Division St. LUcie Co Li n tY, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (77 2)462-1553 Fax: (772)462-1578 Commercial Residential x
— 'om
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:-
Address: 1207 Driftwood Lane, Fort Pierce, FL 34982
Legal Description: DRIFTWOOD MANOR-SECTION THREE-LOT 16 (0.50 AC)(OR 1619-2614)
Property Tax ID#: 3404-808-0016-000-4 Lot No. 16
Site Plan Name: MICHAEL&SUSAN NELSON Block No.
Project Name: MICHAEL&SUSAN NELSON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of Hurricane protection products on 2) openings
CONSTRUCTION:INFORMATION:
Additional work tobe nertormed under this permit—check all that apply:
11HVAC E]Gas Tank 0 Gas Piping W1 Shutters Windows/Doors
ZElectric 0 Plumbing OSprinklers Elenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: SFt of First Floor:
Cost of Construction:$ 8,731.00 Uti lities:'n Sewer 11 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name
Name: Brian Rist
Address:1207 Driftwood Lane Company: Storm Smart Building Systems, Inc
City: Fort Pierce State:FL Address: 4047 Okeechobee Blvd, STE 106
Zip Code: 34982 Fax: City: WPB State:FL
Phone No.772-332-9350 Zip Code: 33409 Fax:
E-Mail:1SGMGN@ATT.NET Phone No. 561-229-0048
Fill in fee simple Title Holder on next page if different E-Mail: YSarzuela@stormsmartse.com
from the Owner listed above) State or County License: CRC056857
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENa"LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:Brian Rist
Address:1207 Driftwood Lane,Fort Pierce,FL 34982 Address: 1207 Driftwood Lane
City: FortPierce State: City: WPB State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:4047 Okeechobee Blvd,STE 106 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender ora .at orney before
commencing0ork or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Sig re o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �RjG COUNTY OF L CIG
The for g instrument was acknowledge before me The for oing instrument was acknowledged before me
this ffay of Dec. 20L9 by this�day of p-6� 20j3 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification I/ Personally Known Sef-::�'OR Produced Identification
Type of Identifi Type of Identification
Produced % TSU
d ;t'. •i ii',�f
AI, f��d1r"-
' ♦,� iUil�.ov e
.J; ,,RY 3 �r
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(Signature o ary Public- f FiYi Wi)3 Sarzuela, (Si nature of Notary Public-State of Flo , a) :z
NOTARY PUBLIC
Commission No. ry&23) STM101: FLORIDA Co mission No. i_6 17 3'11,0 (Seal),,
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Coo Jil-J;GG317472 r,
�ycr pZ� ExNirts 3!28!2023 , : ic
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17