HomeMy WebLinkAboutAPPLICATION WOODAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 22, 2020 Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
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: 13950 CANCUN AVE, FORT PIERCE, FL 34951
PropertyTax ID #: 1306-501-0191-000-5
Site Plan Name: ROBERT WOOD
Project Name: ROBERT WOOD
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF NINE (9) ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of Firsi Floor:
Cost of Construction: $ 3,706.66 Utilities: _ Sewer _ Septic
Lot No. 6
Block No. 12
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT WOOD
Name: MIRIAM VAN TASSEL
Address: 13950 CANCUN AVE
Company: DVT HURRICANE SHUTTERS, INC
City: FORT PIERCE State:I
Zip Code:34951 Fax:
Phone No.856-287-2523
Address: 3100 N KINGS HIGHWAY
City: FORT PIERCE State: FL
Zip Code: - 24951 Fax: 772-794-1590
Phone No !72-794-1581
E-Mail: pltcrj@comcast.net
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 52500 or more, a RECORDED Notice of Commencement is requires.
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:
Address:
City: State:
Zip; Phone
FEE SIMPLE TITLE HOLDER. — Not Applicable
Name:
Address:
City:
Zip; Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State: —
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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 a AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Fenature of Owner/ Lessee/Contractor as Agent for Owner � Signature cif Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S /IJ-
The for�oing instru nt was cknowledged before me
this ..day of Wit, i r 20L' by
a
Name of person making statement.
Personally Known _ tOR Produced Identification
Type of Identification
Produced
ignature of Notary Public- State of Florida )
Commission No-k�, '—q� � ���` �a1) Vivian $U@
COMMISSION 8 C
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STATE OF FLORIDA .
COUNTY OF`�-
The forgoing instrWnent was acknowledged before me
this day oV ZOO bY
meof person making statement.
Personally Known Lim.- OR Produced Identification
Type of Identification
Produced
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(Signature of Notary Public- State of Florida )
ssion No.
2023
I VEGETATION
REVIEW
REVIEW
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