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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LIZ_
Date: Permit Numt e ;
REF. E D, - D
E
FEB 5 2020
Building Permit Appli %+Ilo letting Department and Development Services ITrfit. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: Hurricane shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9900 S OCEAN DR 405, JENSEN BEACH, FL. 34957
Property Tax ID#: 4502-503-0039-000-9 Lot No.
Site Plan Name: Carla Palma Block No.
Project Name: Carla Palma Hurricane shutters
DETAILED DESCRIPTION OF WORK:
2 Hurricane Shutters, at the front windows, accordion type
CONSTRUCTION INFORMATION:
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: $ 1,045.00 Utilities: —Sewer —Septic Building Height: 140 ft.
OWNER/LESSEE: CONTRACTOR:
Name Carla M Palma Name: Edwing Sosa
Address: 9900 S Ocean Dr. unit#405 Company: Edwing's Unlimited Shutter Services LLC
City: Jensen Beach State: FI. Address: PO BOX 881085
Zip Code: 34957 Fax: City: Port St. Lucie State: Fl.
PhoneNo. (914)414-5178 Zip Code:34988 Fax: (772) 905-9431
E-Mail: Phone No (772) 370-0766 .
Fill in fee simple Title Holder on next page(if different E-Mail ed(aD-edsunlimitedservices.com
from the Owner listed above) State or County License 28457
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: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
—;�/ F-,Avd I -19nSG.
Signature wne /Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA. STATE OF FLORIDA
COUNTY OF ST. L 1n 4�e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9.9- day of Jan 3&v f y ,20 20 by this 2'Lday of `5&���20 2^�by
Ca�l
Name of person making statement. / Name of person makfhg statement.
Personally Known OR Produced Identificationy Personally Known OR Produced Identification
Type of Iden ' ca ton Type of Identific tion
Produced • Produ d i
Gin.. Lo .r1� .6E 04-tSOS'AA;::
(Signature of Nota P I' �e'sf F91Sit9h to tate; or a
Notary gna r of otary Public-
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Commission No. 1 ��: �Ygp�{ xp1Iv=�Ty&9;2020 . NQtary�blic-State of Florida
Commission No. ssion 9 GG 135318
.'00110 Bondetl4Arot�pA National Notary Assn. .
My Comm,Expires Aug 16,2021
Bonded through National NataryAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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