HomeMy WebLinkAboutAPPLICATION SALMONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 24, 2020 Permit Number:
- ;j
•
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: 1856 WILDCAT COVE, FORT PIERCE, FL 34949
Property Tax ID #: 1425-620-0034-000-9
Site Plan Name: FRANK SALMON
Project Name: FRANK SALMON
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF TWENTY EIGHT (28) ACCORDION HURRICANE SHUTTERS
CONSTRUCTION INFORMATION:
Lot No. 41
Block No.
Additional work to be performed under this permit –check all that :<h
ply:
_Mechanical _ Gas Tank _ Gas Piping utters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 15,257.77
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FRANK SALMON
Name: MIRIAM VAN TASSEL
Address: 1856 WILD CAT COVE
Company: DVT HURRICANE SHUTTERS, INC
City: FORT PIERCE State:
Zip Code: 34949 Fax:
Phone No. 845-709-3000
Address: 3100 N KINGS HIGHWAY
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone No 772-794-1581
E -Mail: asalmon22@yahoo.com
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 regwrea.
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:
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
....Tm %rr%m in . runro nn AN ATTORNEY BEFORE RFCOROING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA /
STATE OF FLORIDA
COUNTY OF "4C_ `�--
COUNTY OF
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this;W_ day o20�Y
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this day of 20;,7�
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Name of person making statement.
ame of person making statement.
Personally Known _L.Z`O0R Produced Identification
Personally Known AOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced in
ignature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. 2�� � �` u al) Vivian Sue
mission No.- ( i@n Sue BIU
COMMISSION #
297846 �c =COMMISSION # OG29
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DATE
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DATE
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