HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DatO ';'Aa ,
a Permit Number:
RECEIVED
- Building Permit Application Fr 2 7 "0119
Planning and Development Services t S . 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
PERMIT TYPE: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 103 Camelot Drive,Fort Pierce,FL 34946
Property Tax ID#:1432-801-0041-000-8 Lot No38
Site Plan Name:_Crimley Block No.
Project Name: Catherine Crimley
DETAILED,DESCRIPTION-OF WORK:
Install Hurricane Protection Products on (12)openings
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors
_Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$7092.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR
NameCatherine Crimley Name:Brian Rist
Address:103 Camelot Drive Company:Storm Smart Building Systems
City: Fort Pierce State:FL Address:6182 Idlewild St
Zip Code: 34946 Fax: City:Fort Myers State:FL
Phone No.(772)801-4041 Zip Code: 33966 Fax: 884-330-8277
E-Mail: 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 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 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 or an attorney before
comn,Wncingwork or recording our Notice of Commencement.
S' ature of Owner Lessee/Contractor aj Agent for Owner Signature of Contra or/License der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF'ABG COUNTY OF PRC
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of O C f 20�9 by this�T i ay of bcc 20 i by
John 0rImite A �_,YIo-n i2zist-
Name of person mak ng statementName of perso}'making statement
Personally Known OR Produced Identification � Personally Known ✓ OR Produced Identification
Type of Identificat' Type of Identific
Produced Produced
Yesenia Sarzuels
a NOTARY PUBLICQ
_ Yesenia Sarzuela
(Signature o N aryPublic-S� o�mm#GG317472 (Signature of Eta Public-Stat PUBLIC
0 ;)NOTARY
STATE OF FLORIDA
Commission No.
6�Ja�-144-17 NCE}9� ( jres3/2812023 Commission No. Q$m#GG317472
•��'s`cE A Expires 3/28/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17