HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1rcv-�
Date: 1/28/2020 Permit Number:
RECEIVED
Building Permit Application FEB 07 2020.
Planning and Development Services
Building and Code Regulation Division oe artm�nt
PermittingF? 1
2300 Virginia Avenue, Fort Pierce FL 34982 ,t uch 2tiN�i;
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMITTYPE: Accordion Shutters
PROPOSED IIUIPR,OVEMENl'LOCATION
Address: 11007S Ocean Drive
Property Tax ID#: 4512-333-0001-000-4 Lot No.
Site Plan Name: Hutchinson Island Post Office Accordion Shutters Block No.
Project Name: Hutchinson Island Post Office Accordion Shutters
DETAILED DESCRIPTION OFWORK ,
Installing 3 Accordion Shutters
Accordion Shutters ASSA Bertha HV Accordion Shutter FL# 1850.3
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: $ 6,409.00 Utilities: —Sewer —Septic Building Height:
QWNER/LESSFEE Nw CONTRACTOR
Name Hutchinson Island Shoppes LLC-Greg Rehberg President Name: William H Miller
Address: 470 NE 185th Street Company: ODonnell Impact Windows and Storm Protection
City: Miami, FL State:_ Address: 6402 SE Federal Hwy
Zip Code: 33179 Fax: City: Stuart State:FL
Phone No.770-286-2894 Zip Code: 34997 Fax:
E-Mail: Phone No 772-408-0200
Fill in fee simple Title Holder on next page(if different E-Mail odonnellpermitting@gmail.com
from the Owner listed above) State or County License CGC035934
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.
i
S,l1PPLEMENTAL CONS CTI.ON,LIEN LA FORMATION
DESIGNER/ENGINEER: _Not Ap cable MORTGAGE COMPANY: _ Not A (cable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone,-" Zip: Phone:
FEE SIMPLE TITL OLDER: _Not Applicable BONDING COMP Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
NER/CONTRACTOR AFFIDVIT: Application is hereb ade 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
YVJTH YOUR LEOD9401111 AN ATTORNEY BEFORE RECO DINJG,YOUR NOTICE Of C EN EMENT."
ignature of w er Lesse /Contractor as Agent for Owner a ure o Contrac o /License Holder
STATE OF FLO STATE OF FL
COUNTY OF COUNTY OF
' I
The fo str ment was acknowledged before me The for i instr ent was acknowledged before me
this day of 20;�by this WY o 20X by
M d 1!21
Name of person makZstaent. Name of person making statement.
Personally KnownProduced Identification Personally Known �' OR Produced Identification
Type of Identification Type of Identification
Pro
duced Produced
G
(Signatureof Notary Public f Florid n Allen (Signature o otary Pub_l'�of FloRilrja nn Alien;
Commission No. _ #GG366562 Commission No. _ CORRe l�G366562
��
30,20 8. 0Expines;Sep—.1 9ML—.at.30,2023
r.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER! REVIEW REVIEW REVIEW REVIEW REVIEW 'REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1