HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE,COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 29, 2020 Permit Number(
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9460 Meadowood'Dr#101 , FORT PIERCE, FL 34951
Property Tax ID#. 1327-703-0037-000-3 Lot No.
Site Plan Name: SCOTTO Block No.
Project Name: SCOTTO
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ONE'(1) CLEAR LEXAN PANEL AND SIX(6)ACCORDION HURRIANE SHUTTERS
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
Mechanical _Gas Tank _Gas Piping ✓h utters -Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6,429.48 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name LIBERTA SCOTTO Name: MIRIAM VAN TASSEL
Address: 9460 MEADOWOOD DRIVE#101 Company: DVT HURRICANE SHUTTERS, INC
City: Fort Pierce StateFL Address: 3100 N KINGS HIGHWAY
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No.772-465-1724: Zip Code: 34951 Fax: 772-794-1590
E-Mail: IRLAGOON29@AOL.COM Phone No 772-794-1581
Fill in fee simple Title Holder on next page(if different E-Mail dvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License 24394
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.
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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 Y UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature o Owner/Lessee/Contractor as Agent for Owner Sign ture of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDt>l
,
COUNTY OFs�..: COUNTY OF �-
The forgoing instrqWnt was acknowledged before me The forgoing instru ment was acknowledged before me
this Ii day of 20 )Zby this LL�_day of ,26$:) by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-SiVie of Florida) (Signature o 0.
:;�• ...�;�_ LASHAF►NAINGRAM-RAHMING
Commission No. _ Commission i '•. `•*_ M1'Cah4MISSION (,�(� 60
:;fl�Py LAST'dVHNA INGRAI%s-RAHMING ",rF•. .oP;' :December 20,2022
=V• P Bonded 7hN Nota P
PAY COMMISSION ft GG 275060 — ry ublic U
=�;,. ;:-'
EXPIRES:Dec ember 20,2022
REVIEWS F IVB°.0`• ZtnXINGNotaryP R&R460 PLANS VEGETATION SEA TURTLE MANGROVE
CO �•�� Vv REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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