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HomeMy WebLinkAboutBuilding Permit Application I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater ZD Permit Number: ©©� f 064' () :3 Building Permit Application MAR 2 4 2020 Planning and Development Services PSrMWJng Department Building and Code Regulation Division St.Lode County 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: 3500 NW SHINN RD, FORT PIERCE, FL 34945 PropertyTax ID#: 2330-421-0001-000-0 Lot No. Site Plan Name: GEORGE PANTUSO Block No. Project Name: GEORGE PANTUSO DETAILED DESCRIPTION OF WORK: . INSTALLATION OF FIFTEEN (15) COLONIAL HURRICANE SHUTTERS AND FIVE (5) NAUTILUS ROLLING SHUTTERS (HAND OPERATED) CONSTRUCTION INFORMATION: - Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping 1/5hutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 13,088.89 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WHITE MARSH LLC ATTN: GEORGE PANTUSO Name: MIRIAM VAN TASSEL Address: P O BOX 14049 Company: DVT HURRICANE SHUTTERS, INC City: FORT PIERCE Stater Address: 3100 N KINGS HIGHWAY Zip Code: 34979 Fax: City: FORT PIERCE State:FL Phone No. 772-461-8868 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. 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." _6 Signature f Owner/Lessee/Contractor as Agent for Owner Signature o Contractor/License Holder STATE OF FLORIDA / STATE OF FLORIDA COUNTY OF— COUNTY COUNTY OF S7`, �i`J� The forgoing instrument was acknowledged-before me The forg ing instrument was.acknowledged before me this f-4 day of A4 io,vc tA 2W by this day of 2Cep by � V- iaW U a- 'e i��a m V o-g- 7-i-sS� I a,Y►_T s s 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 Produced (Signature of Notdry Public-St a)(:�IIIYIiS$IQFI#GWi nature of Notary Public-Sta .) COMMISSION#GG Commission No. 66747% + 6� a`4 •'�seEMPIRES:April 29, gQg,mission No. aFXPIRES:April 2S, 23 ���� ° Bonded Thru Aaron ,������ Bonded ThN Aaron Lary '��+„°�►� �• REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19