HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUSBE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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 'I
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PROPOSED IMPROVEMENT LOCATION:
Address: 7002 Fort Walton Avenue, Fort Piere, FL 34951
Property Tax ID#: 1301-612-0168-000-1 Lot No. 4
Site Plan Name: Merritt G &G Block No. 126. '
Project Name: Merritt G &G
DETAILED DESCRIPTION Or WORK:
INSTALLATION OF TWELVE (12) STORM PANELS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping &'O'Soh utters —Windows/Doors
Electric —Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3,147.67. Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameG&G NURSERY, INC Name: MIRIAM VAN TASSEL
Address: 7002 FORT WALTON AVENUE Company: DVT HURRICANE SHUTTERS, INC
Fort Pierce 3100 N KINGS HIGHWAY
City: State: � Address:
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No. 304--544-3084 Zip Code: 34951 Fax: 772-794-1590'1
carol n merritt mail.com 772-794-1581
E-Mail: Y 9 @9 Phone No
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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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
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Zip: Phone: Zip: Phone:
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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 P TYING
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:'
Sigri'ture cif Owner/Lessee/Contractor as Agent for Owner Signature of Co ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument acknowledged before me The forgoing instr ent was acknowleclgrd�efore me
this day of '6�.b _2 bye, (� this.' day of 20c�"�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"
ProducedProduced
(Signature of Notary Public-ShAe of Florida) (Signature of Notary Public-State of Florida)
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Commissio Commissi �e% ELLEN VAUG
°= Florida-
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ELLEN VAUGHN NotaryPublie.
State of =a - Commission#G
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Commission #GG 270 79 �' " ``` 0 t mission Expire ii
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022 VIEW REVIEW REVIEW IZEVI EVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
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