HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �-�1 0 Permit Number:
D-77
rRECEIVED
- - Building Permit Applicai ion NAR 31 2020
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X— ResidentialIX
PERMIT TYPE: Accordion shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 12 Lake Vista Trail Unit 203 Port St Lucie, FL 34952
Property Tax ID#: 3422-500-0164-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install accordion shutters on 5 openings
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:$ 2370.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Misan Home Loan&Capital LLC Name: David F Miller
Address:632 SE Starflower AVE Company: A Quality Construction, LLC
City: Port St Lucie State:_ Address: 3531 S 25th St
Zip Code: 34983 Fax: City: Fort Pierce State: FL
Phone No.772-201-4129 Zip Code: 34981 Fax:
E-Mail: Phone No 772-343-0805
Fill in fee simple Title Holder on next page(if different E-MailAquality01 @bellsouth.net
from the•Owner listed above) State or County License CBC1 257739
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: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Frank Bennardo Name:
Ad d ress: 160 SW 12th Ave Address:
City: Deerfield Beach State: FL City: State:
Zip: 33442 Phone954-354-0"3Zip: 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 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 IMPROV ENTS TO YOUR PROPERTY. A NOTICE OF COMM CEMENT MUST BE,RECORDED AND
POSTED ON THE JO 'SITE BEFORE THE FIRST INSPECTION. IF YOU INTD TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDS OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT."
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Signature,o Owner/Les Contractor as Agent for Owner Sign ature_'of Contractor/License Holder
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STATE OF
COUNTY OF FLORIDA G• COUNTY OF STATE OF FLORIDA f \k C I,�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day offy)t��— .20 2�,y this day of 202 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 Identificatio
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