HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -5 a,b Permit Number: ZQ 0 5 - 6 5 Z(
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• MAY 2'8. 2020
Building Permit Application
Planning and Development Services ST, Lucie County, Permitting
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
PROPOSE D"IMPROVE MENT LOCATION::'
Address: 6703 Dickinson Ter., Port Saint Lucie, FL 34952
Property Tax ID#: 3415-706-0028-000-2 Lot No.157
Site Plan Name: Block No. 1
Project Name: John A Klein
DETAILED DESCRIPTION OF,WORK: .
4 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2,450.00 Utilities: _Sewer _Septic Building Height: 20 feet
OWNER/LESSEE: CONTRACTOR:
NameJohn A Klein Name:Edwing Sosa
Address:6703 Dickinson Ter. Company:Edwing's Unlimited Shutter Services LLC.
city: Port Saint Lucie State: FL- Address:PO Box 881085
Zip code: 34952 Fax: city: Port St. Lucie State:FL.
Phone No.(315) 404-5904 zip Code: 34988-1085 Fax: (772) 905-9431
E-Mail: Phone No(772) 370-0766 -
Fill in fee simple Title Holder on next page(if different E-Mailed@edsunlimitedservices.com
from the Owner listed above) State or County License 28457
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.
SUPPLEIVIENTAL
DESIGNER/ENGINEER:V X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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 SrrE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Si&dature of Own r/Lessee ntractor as Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,ST. LUCIE COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15 day off--Bua V 2016 by this%5 day of•c� ,20`Lo by Name of person making statement. / Name of person risking statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced . L• Produced
div PSB ANA MARCELA ALARCON
(Signature of Notary P . iFul,
f-� .r.: W na r o Nota tate�€,�adaic 13s31a
,, BLANCA L SOSAoMy Comm.Expires Aug 16,2021
=� NOW PVV §§trite o/Florida �,,'F°FFl.?` bonded throw h N-' D pzsn.
Commission No. = Cmmissltun d GG 959255 Commission No. 9 ry My Comm.Expires May 29,2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te—v.2/7/19