HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/25/2020 Permit Number:
I . ILM
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FORACCORDION SHUTTERS
PROPOSED [Mw'PROVEME,NT1OCAT1190-
odr4rorc- 5210 HICKORY DR. FT. PIERCE, FL. 34982
Property Tax ID #: 3402-608-0452-000-2
Site Plan Name:
Project Name:
DETAiIyLED DES`CRIPTIQN:.OF V1/OIRK:_
INSTALL ACCORDION SHUTTERS
New Electrical Meter Second Electrical Meter
Lot No. 12 AND 13
Block No. 52
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3,560.00 Utilities: —Sewer —Septic Building Height:
'Nil=`R/LESSJEE -
CONTRA,CTO1R:--
- - - - --
Name MICHAEL SCARPETTI
Name:JEREMIAH JOHNSON
Company:JBR EXTERIORS, INC.
Address:5210 HICKORY DR.
City: FT. PIERCE, FL. State: _
Zip Code: 34982 Fax:
Phone No.
Address: 1201 SW BILTMORE ST.
City: PSL State: FL
Zip Code: 34983 Fax:
Phone N0772-873-0600
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail info@jbrexteriors.com
State or County License CBC 1260687
If value of construction is 2500 or more, a RECORDED Notice or c:ommencemeni is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUC 1710N LIEN LAW INFORMATION._.-'
DESiG.NER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: i Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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.
5t. Lucie County makes no representation that is granting a,permit will authorize theermit 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 1 will, in all respects, perform the work,
in accordance with the approved plans, the Florida Building Codes and 5t. 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 hosted on the jobsite
before the first inspection_ If you intend to obtain financing, consult with lender or an attorney before
rnmmgin rina wnrlE nr rarnrrlina tirni it Nritir_t* of t'nmmencement_
Rev- 8/2117
Signature if Owner/ Less /Contractor as Agent for Owner
Signature of C ntractor/Lice a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY 01= ;5-r Late) E
COUNTY OF_4T �u �
The forgoing instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
this �day of -� 2020 by
this,,25 day of „SL" -e— .20:2b by
0 -In TO L%11552bh
cJ.Q.✓'�.IM.0-�l. ��ra`jUH
Name of person making statement
Name ofper on making statement
Personally Known �_ OR Produced Identification
Personally Known OR Produced Identification
Type of identification
T11 f dentification
Produce
ary Public State othua
Shane Alb
2�snY a��r Notary Public State of Florida a
Commission G0
M"eoF
Joshua Shane Alberlco
ires 09!1812020
Rduce'd_
9K�o My Commission GG 020879(Signa;re7otary
Public- S
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Com (Seal)
ton No. (Seal)
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev- 8/2117
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