HomeMy WebLinkAboutAPPLICATION McGILLAll APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ZPermit Number:
WPM
Cour
F 1 O I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 2307 N 42ND ST, FORT PIERCE, FL 34946
Property Tax ID #: 1431-801-0127-000-2
Site Plan Name: RUTH McGILL
Project Name:
RUTH McGILL
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF TWO (2) ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
Lot oc /2
. i�
Block No.
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: _
Cost of Construction: $ 630.55
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RUTH McGILL
Name: MIRIAM VAN TASSEL
Address: 2307 N 42ND ST
Company: DVT HURRICANE SHUTTERS, INC
City: FORT PIERCE State:–
Zip Code: 34946 Fax:
Phone No. 772-464-0156
Address: 3100 N KINGS HIGHWAY
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone No 772-794-1581
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail dvthurricaneshuttersinc@hotmail.com
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 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 RECORDINGYOURNOTICE OF COMMENCEMENT."
Sigature f Owner/ Lessee/Contractor as Agent for Owner Signature/of Contractor/License Holder
STATE OF FLORIDA- // STATE OF FLORIDA /
COUNTYOF �5Z tiGtC/� COUNTYOF �j/ Z,U6t �
The forgoing instrument was acknowledged before me The forgoing instrument was y_cknowledged before me
thisday of C 20�Wby this r1 day of Wl r(-kt 20ZO by
Name of person making statement. I Name of person making statement.
Personally Known �OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. G �R r .,'1j%1Sea'ViVian Sue B
MISS COM ION # ar,:
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Personally Known r/ OR Produced Identification
Type of Identification
Produced
////�v4�
(Signature of Notary Public- Sta'trida )
P Vivian $U@ BI
r emission No.GG -SCWMISSION#GG;
ime
EXPIRES: April 19,
%4r ,1V of N Aaron I
R N S VEGETATION SEA TURTLE MANGROVE
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