HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: ,June 12, 2020 Permit Number: �� — 9
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Building Permit Application ST. Lucie County, permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Hurricane Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 WINDRIFT CIRCLE FORT PIERCE, FL 34945
Property Tax ID#: 2310-500-0094-0008 Lot No. 26
Site Plan Name: OWEN Block No. 3
Project Name: OWEN
DETAILED DESCRIPTION OF WORK:
We will install one (1) Nautilus Roll-up hurricane shutter(electric)
We will install eleven (11) accordion hurricane shutters
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: $ 8,574 Utilities: _Sewer _Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name ANDREW OWEN Name: MIRIAM VAN TASSEL
Address: 900 WINDRIFT CIRCLE Company-DVT HURRICANE SHUTTERS
City: FT. PIERCE State:_ Address: 3100 N. KINGS HIGHWAY
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No.786-449-9083 Zip Code: 34951 Fax: 772 794 1590
E-Mail: Andrew @zowen.com Phone No 772 794 1581
Fill in fee simple Title Holder on next page(if different E-Mail dvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License 24394
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or recordingour Notice of Commencement.
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Si atur of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA i STATE OF FLORIDA
COUNTY OF COUNTY OF d '
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
`'- Physical Presence or Online Notarization physical Presence or Online Notarization
this day of , c 2020 by this day of �^ 2020 by
�C'c n.r'� V�.y��a� 211 �� I�t a►'►-. V c��
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known L�OR Produced Identification
Type of Identification Type of Identification
Produced Produce
Vivian Sue Blume �� ,.��'V: � Vivian Sue Blume
(Signature of Notal*Pu -3, a on (Signature of Notary 1A c at @"f r
EXPIRES- +pril 29, 2023 �R�'I�OS:April 29, 2023
Commission No. ''�i,�oFFi .��` Bond Aaron Notary
rN;m,1►� Bonded(S.gW)Aaiun No" Commission No. nnm� �eBTr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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