HomeMy WebLinkAboutBuilding Permit Application ;ALL APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dates �` l� Permit Number: (9
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Building 'POMit Application
Planning and Development Services MAR ? 2 220
8urlding and Code Regulatron Division
2300 VIrgrnta Avenue,Fort Prerce FL 34982 �Q i.rn j p ti n Q D e p a rtrn e O
Phone: (772)'<462.1553 Fax:'{712)4.62 1578 Commercial R `SI tl f �C eie nt FL
PERIVI'ITAP'PLICATION FOR`: Hurricane Shutters
PaROPOSED I_MPR01`/EiVI'E<NT'LOCATIC�N„?
Address: 6208 Santa Margarito Drive ;
Legal.Desc"ription .Portofino.Shores.Lot 88; (6208 Santa Margarito Dr)
Property Tax.iD#:, 1312-501-0023-000-6 Lot No. 88. .
Site Plan Names Block No..
ProjedName:, Collins
Setbacks Front, 'Back Right Side,. Left Side:
DETAILED D`ESCRFP7�104N 0`F WORK' �i.
Install Accordion Shutters C Pi, 0 @vlG(65vr2 AAc) OAL
LA,;Ad 4lel
CONT_RVCT,Iy(u31INFQ`R�M°ATION
_ j J
.
itiona wor u to eye orme ri un er.t Yis permit c ec a app y.
- ❑HVAC L_J Gas Tank-' Gas.Piping X_Shutters ❑Windows/Doors'
0Electr�ic: 0 Plumbing Sprinklers Generator Roof :Roof'pitch
Total.4 Ft of Constructions,,. _ .. S' :Ft.;of First Flo.or6,
Cost of'Construction:,$ VJra," .i0 U.tilities:OSewer Septic B"uilding;Height:;
i OWNiERv/�LESS�E ;CONTRACTOR Y
L.. ._._. �..._..
Name. Richard A Collins Name John Zervopolous
;Address; .6208..Santa Margarito.Drive company:
Advanced Hurricane Protection
,:city: Ft. Pierce State: FL Address: . 4517.SE Commerce Ave
Zip Code: 34951 Fax: City: gfrrarfi Sfate:' R
Phone No._954-829-4900- Zip_Codes 34997 Fax:
E'=tVlail: RickCollins772@gmail.com Phoneft. 772-220-1200
Fill m;fee simple lttle laoldef on next,page(if different E-Mail: Johnna Advancedhurricane.net
'from the.Owr dr listed above): State or County"License: CBC1259339
If value':of'construciion is:$2500:ormore,sa RECORDED Notice of Commencernent'is requited.
SUPPLENLENTAL,CON`S.TRUGTION LIEN ,!lAW IN,FORIVIATION:
DESIGNER/ENGINEER; _Not Applicable MORTGAGE_COMPANY: _Not Applicable.
Name: Name
Address: Address-.
City: State: City:. State!
Zi
zip!p: Phone:
p�
,FEE SIMP LE`TITLE HOLDER:
..Not Applicable BONDING COMPANY: _Not-Applicable:
-Name: Name:
Address: Address•;-
:City. ,City:
Phone: Zip:, Phone.
OWNER/CONTRACTOR AFFIDVIT Application is.herebymade to:obtain a permit to do the work and installation as.indicated..
I:cerfifythat no work or installation has commenced prior to_the Issuance,of apermit.
St.Lucie County makes:no representation that is granting apermit wi11 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 Horne Owners Association;and review your deed for any restrictions which.may,apply.,
trrconsideration of,the.granting of this requested permit,I do hereby agree thatl will,in all respects;perform the work
in accordance with the approved plans,the Florida Building'Codes.and_St.Lucie County Amendments:
Tlie.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 ises 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 jobsite
,before the first inspection'. If,you in _. i to obtain f hancif&consult with.lender or,an.attorney,before,
commencin work or recordin ur N ice of Commencement.
gnature f 0 er/Lessee/C Factor as_Agent for owner naturVLORI'DA
tractor/Lice se Holder
��.5• TE OF ORIDA STATE
< OUNTY OF.. . lca �—�c. COUNTY OF? Martin
"•' he for ing instrument was acknowledged before me The forgo'ing.instrument was acknowledged,before m
< his dayofd( � lr, .2020 by this 3rd .day of. March 2020 by
CD
N p N 9 N
3 v'V� S John Zervopolous o °�
0 o CD DD
Name of,person making,statement. Name;of'person making statement, o c
C,n o ersonally Known . OR Produced identification Personally Known X OR Produced Identification,
G) Type-of Identification Type:of Identification: w ii c
w roduced Produced a �,
E:o
zN0 �,
�O.�T u
011 f, Z�� X
(Sigriatur of.Notary Public--State of Florida) (Signature, f Notary.Public-State,of Florida} c•doyo
Commission No,, (Seal) Commission.No. GG133395 (Seal)
REVIEWS FRONT - ZONING SUPERVISOR' PLANS VEGETATION SEATURTLE MANGROVE
COUNTER, REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
'DATE.
:RECEIVED
DATE
COMPLETED
Rev.8/2/17