HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9v 1tX�iG�- "L -7 ' Permit Number: ad eJ CJ�y
- - - Building Permit Applic tiO�► AR 0 020
Planning and Development Services 5T. Lucle 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: 1824 WILD CAT COVE DRIVE, FORT PIERCE, FL 34949
Property Tax ID#: 1425-620-0042-008-8 Lot No. 49
Site Plan Name: RICHARD APPEN Block No.
Project Name: RICHARD APPEN
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF EIGHTEEN (18)ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping l/ Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 8,786.85 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name RICHARD S APPEN Name: MIRIAM VAN TASSEL
Address: 1824 WIULD CAT COVE DRIVE Company: DVT HURRICANE SHUTTERS, INC
City: FORT PIERCE State: Address: 3100 N KINGS HIGHWAY
Zip Code: 34949 Fax: City: FORT PIERCE State:FL
Phone No. 772-643-6264 Zip Code: 34951 Fax: 772-794-1590
E-Mail: 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.
DESIGNERJENGiNEER: � _Not Applicable _ MORTGAGE COMPANY: _Nat 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 Horne 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 pians,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."
17
Signature o Owner/Lessee/Contractor as Agent for Owner Signature a Contractor/License Holder
STATE OF FLORIDA STATE OF FLOPPA
COUNTY OF __S k L
• Vvu L���. COUNTY OF J c iC
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of_ vr,,k`� i ,20a,- by this day of. W`apt r 20 ltd by
t►*1'.r, art\
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 Iden ' cation
Produced - Produced
(Signature of Notary Pu 'c-State of Florida = ...1. a_i
r
(Signatu o `° uS7tie0 1 'rida'�`,
' � Grr :. _. PIRG,.uu dernttiass',':
Commission No. v a- #004�2�•J �Commi si - a " ePru �,,,�� ~
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REVIEWS FRON ^" e e SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNT iEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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