HomeMy WebLinkAboutBuilding Permit Application Ail APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 4���C'
• R I ID rk
Building Permit Applic tion JUN 2 `_32020
Planning and Development Services
Building and Code Regulation Division f-eri`!i ittI Cj ' i1 LC ��?(;
2300 Virginia Avenue,Fort Pierce FL 34982 . 9
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi.de`ntiai`- ' ix.w:r i ._,i FL
PERMITTYPE: SHUTTERS
PR+®,P®S�E�® IIVI'PR®UEENTOCATIO`N:
sf .�. r_
Address: 5203 DEER RUN DR FORT PIERCE, FL 34951
Property Tax ID#: 1313-502-0023-000-2 Lot No.446
Site Plan Name: Block No.
Project Name:
ECRI.P�TIOdNOWR�oK® T�I�LS
�
INSTALL 12 HURRICANE PANELS
�C®NST�RU`,CIiION INFORMATION s, k A
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3,831.00 Utilities: —Sewer —Septic Building Height:
®WN;E�R/l ESSEE, CONTRACT0
Name PAUL BENNETT Name:THOMAS L PEASE
Address:5203 DEER RUN DR Company:FLORIDA SHUTTERS INC
City: FORT PIERCE State:_ Address:1055 COMMERCE AVE
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No.772-971-1052 Zip Code: 32960 Fax: 567-3674
E-Mail: Phone N0772-569-2200
Fill in fee simple Title Holder on next page(if different E-Maildaniela@floridashuttersinc.com
from the Owner listed above) State or County License CBC 015453
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.
SUPPLENIENTA,L C®•NSTR�UCTION LIEN LfAVI/ INrFOATI01V
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 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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
I L ..PP Q -7-14-0 VA 41,J L'/--
Signature of Owner/Lessee/Contractor as Agent for Owner Signatur6 of Contractor/License Holder
STATE OF FL STATE OF FL RID
COUNTY OF 11man I I 0 Qc COUNTYOF r1 L-of-
The
forg ng instr r ment was acknowledged before me The for o' g instru ent was acknowledged efore me
this day of 20 2 y thi ay of 20_ y
--ffi�m(js, L 4q%
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Pro ced Produced
(Signature of Notary Public-State of FI I a.. LETICIA TR jdSignatu a of Notary Public-State of F
�n :i'.�`•'= Notary Public-St ,e of Florida /1 1 "
G �is n No.C� 1 Pc37 2.�
Commission NO. . ' CommissionNG � 7 ,2
eves My Comm.Expires a
Bonded throughNatio al Notary Assn. Ns �
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA lJ tV1�U(,l f FIc rid
COUNTER REVIEW REVIEW REVIEW REVIEW R �� `_ CPO 4fiWGGto37 i
DATE o
RECEIVED P,F�r Bonded thrnugh Wlional Notar Ass
DATE
COMPLETED
Te-v—. 2/7/19