HomeMy WebLinkAboutAPPLICATION STINEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACC E.PTED
Date: April 22, 2020 Per nit Number:
J
•
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 Ikpplication
Commercial
PERMITTYPE: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 6600 LEE BLVD FORT PIERCE, FL 34951
Property Tax ID #: 1301-608-0129-000-3
Site Plan Name: GARY STINE
Project Name: GARY STINE
DETAILED DESCRIPTION OF WORK:
TEN (10) OPENINGS - ACCORDION HURRICANE SHUTTERS
ONE (1) OPENING -ALUMINUM STORM PANELS
CONSTRUCTION INFORMATION:
Residential X
Lot No.1 & 24
Block No. 92
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank _ Gas Piping -Mutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5,771.72
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRAC I -OR:
Name GARY STINE
Name: MIF IAM VAN TASSEL
Address: 6600 LEE BLVD
Company:__)VT HURRICANE SHUTTERS, INC
Address: 3100 N KINGS HIGHWAY
City: FORT PIERCE State)
Zip Code: 34951 Fax:
Phone No. 772-242-8269
City: FOR FPIERCE State: FL
Zip Code: _34951 Fax: 772-794-1590
Phone No_772-794-1581
E-Mail: wandastine6600@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail dvtliurricaneshuttersinc@hotmail.com
State or County License 24394
If value of construction is 52500 or more, a RECORDED Notice or Commencement is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is r squired.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Pho
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inoicatea.
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
wmu vn"n i riunrD nD AN ArrnDNEY BEFORE RFcnRnmr. YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature df Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �s �_' k' f
STATE OF FLORIDA ,
COUNTY OF�
The forgoing instru nt was tckn owl edged before me
thisbT�/ _'day of 20;LP by
The forgoing instr trnent was cknowledged before me
thisZ—Z_. day o 20�y
v►4 V -11A S�
Name of person making statement.
Wame of person making statement.
Personally Known �R Produced Identification
Personally Known L--_�OR Produced Identification
Type of Identification ,
Type of Identification
Produced
Produced
ignature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No.2gl �P y� ;gal) Vivian Sue
Laission No. 6 2 ( Ian GU@ Blu
COMMISSION
297846 a+� ;�= COMMISSION
REVIEWS
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EXPIRES: Apr
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COUNTER
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19