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HomeMy WebLinkAboutBuilding Permit Application r All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S a.� D-a Permit Number: EIVED Building Permit Applicat[onMAY 2;8. 2020Planning and Development Services ucie 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 PROPOSED IMPROVEMENT LOCATION: Address: 6687 Dickinson TerPort St Lucie, FL 34952 Property Tax ID#: 3415-706-0032-000-3 Lot No.161 Site Plan Name: Block No. 1 Project Name: Hurricane shutters DETAILED DESCRIPTION OF WORK: 2 accordion shutters at the back of the house FcONSTRUCTION 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 Tota I Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 590.00 Utilities: _Sewer _Septic Building Height: 20ft OWNER/LESSEE: CONTRACTOR: NameJoseph J Cipriano Name:Edwing Sosa Address:6687 Dickinson Ter Company:Edwing's Unlimited Shutter Services LLC. city: Port St Lucie State: FL. Address:PO Box 881085 Zip Code: 34952 Fax: City: Port St. Lucie State:FL. Phone No. (571) 274-0436 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO1 3 'M w. <. ,.�. ,.,. DESIGNER/ENGINEER: 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 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 011 YOUR PAYING TWICE FOR IMPROYEMENTS 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." Lr 'e�lna�7 i r496S691, Signature of wner/Lessee/Contractor as Agent for Owner Signature of C � tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST. LUCIE COUNTY OF ST. LUCIE The for going instrument was acknowledged before me The forgoing instrument was acknowledged before me this L ay of 20 2©by this'13 day of 20-L�by Name of person m k1 g statement. Name of person 4xilking statement. Personally Known OR Produced Identification A-.-'O"- Personally Known OR Produced Identification LZ Type of Identificaboyn Type of Identification Produc , ProduU �ed4'-- 7� nat 4ref Notary (signatureota ELD135318 ; . ,n, Notary Public-Sr,4v'a'""•.,, ANAMARCELAALARCON Commission No. *�• •5 Com( a3�9Commission No. 3'�+ �� NotaryPua53aofFlorida My Comm.Expirez ; Commis ion in 135318Bonded through Na `',�� o�oP My Comm.Expires Aug 16,2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.