HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:J�� 2020 Permit Number: aad"�"fid
i �=_; -=� RECEIVED
MAR 0 2 2020
Building Permit Appl cation
Planning and Development Services ST. Lucie County, Permitting
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: 9450 Meadowood drive Unit 201 }, ip;���� � 3L1gS )
Property Tax ID#: 1327-703-0031-000-1 Lot No.
Site Plan Name: Beers Block No.
Project Name: Beers
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF THREE (3) NAUTILUS PULL DOWN SHUTTERS WITH REACH HANDLE
NOUCTRICITY
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:$ 5,567.64 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name ROBERT BEERS Name: MIRIAM VAN TASSEL
Address: 9450 MEADOWWOD DRIVE Company: DVT HURRICANE SHUTTERS, INC
City: Fort Pierce State:EL Address: 3100 N KINGS HIGHWAY
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No. 772-595-3016 Zip Code: 34951 Fax: 772-794-1590
E-Mail: beersjl@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.
SUPPLEMENTAL CONSTRUCTION IEN 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 XOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR TICE OF COM ENCEMENT.-
Signature o Owner/Lessee/Contractor as Agent for Owner Signature of f
ontractor/License Holder
STATE OF FLORIPA STATE OF FLORID
COUNTY OF s ' ���� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a. day of X'N d.°C 2%& by this 1�_ day of Wa-C £ 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 LSD L Produced
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(Signature of Nota ublic-State of Florida) (Signature of Notary Public-State of
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COUNTE oam REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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