HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0lSJ�
Date: Permit Number:
FEB 2-4A20
1
® 4 Permitting Department
- -- - - Building Permit Applicatiorft. LUCID County
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
PERMIT TYPE:Shutters with Electric
PROPOSED IMPROVEMENT LOCATION:
Address: 8024 Links Way, Port St. Lucie, FL 34986
Property Tax ID#: 3327-707-0044-000-3 Lot No.40
Site Plan Name: WILLIAM ROSSY Block No.
Project Name: WILLIAM ROSSY
DETAILED DESCRIPTION OF WORK:
Installation of Hurricane Protection products on (3)openings
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping x Shutters _Windows/Doors
x Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 11,896.46 Utilities: —Sewer —Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name William Rossy Name:Brian Rist
Address:8024 LINKS WAY Company:Storm Smart Building System, Inc.
City: PORT ST. LUCIE State: Address:4047 Okeechobee Blvd, Ste 106
Zip Code: 34986 Fax: City: West Palm Beach State.FL
Phone No.(732)558-2191 Zip Code: 33409 Fax:
E-Mail:MDROSSY@AOL.COM Phone No(561)229-0048
Fill in fee simple Title Holder on next page(if different E-Mail YSarzuela@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 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."
Signature Owner/Less /Contractor as Agent for Owner Sign Contractor/License Holder
STAT OF FLO IDA STATE OF FLORIDA
COUNTY OF C COUNTY OF I—EE
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The fo oing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this day of 20_X by this L9 day of Pl✓Q20- by
W I (�Y�1gdq SSBok P,IK K V sr
Name of person making statement. Name of person making�ment.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Type of Identification ���y;;i05l5ttiptF
Produced Produced qa®°5��,�F SURplF��'e fes`
Yesenia Sarzuela
(Signature of N ar ublic-Sta i i n ture of Nota Public-State of Loo ida) ®°
� c TATE OF FLORIDA ( g Notary e{� #GG 17391
L mm#GG317472
Commission No.bb'J!"I4�12 e p m ission No.CG 1-73gIO e o�(�j 1l�o ded�r�oa�.'
INCE 19� xpires 3128/2023 ✓,,9Qyp�/'ublic Un�e�
',•'lift 9 BlOe;a®y���
REVIEWS FRONT, ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE M��VGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev. 2/7/19
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