HomeMy WebLinkAboutAPPLICATION OLMEDAAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 2, 2020 Permit Number:
•
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: 3006 N 25th Street, Fort Pierce, FL 34946
Property Tax ID #: 1428-702-0921-000-4
Site Plan Name: ANGEL OLMEDA
Project Name: ANGEL OLMEDA
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ELEVEN (11) ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
Lot No. 23 & 24
Block No. 45
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping �-Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,446.85
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ANGEL L OLMEDA
Name: MIRIAM VAN TASSEL
Address: 3006 N 25th Street
Company: DVT HURRICANE SHUTTERS, INC
City: FORT PIERCE State: fL
Zip Code: 34946 Fax:
Phone No. 917-647-9643
E -Mail: angelolmeda33@icloud.com
Address: 3100 N KINGS HIGHWAY
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone No 772-794-1581
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:
City:
Address:
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."
ev. 211119
Signatu a of caner/ Lessee/Contractor as Agent for Owner
Signature of Cbntractor/License Holder
STATE OF FLORIDA ��
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STATE OF
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this _ day of 20�y
The fooing instrum t was a nowledgg2�d before me
this Tday of 2Gi�by
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Name of person making statement.
of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
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(Signature of Notary Public- State of Florida)
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ev. 211119