HomeMy WebLinkAboutBuilding Permit (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
�-)'r Facnjr.
Building Permit Application
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: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 161 b bAUULEBROOK DR. PORT ST. LUCIE FL. 34986
Property Tax ID #: 3321-501-0005-000-8
Site Plan Name: SABAL CREEK
Project Name: SABAL CREEK
Lot No.5
Block No.
DETAILED DESItRIPTION CSF, WORK:
INSTALL THREE IMPACT ROLL UP SHUTTERS ON BACK PORCH AREA.
EXISTING RECEPTICAL ON EACH UNIT. CAME WITH THE NEW HOUSE.
New Electrical Meter Second Electrical Meter
FC*STRUCTIDN
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: $ 8940.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:',
CONTRACTOR:.... �..
Name SUSAN BECKMAN
Name:VAUGHN HOSKINS
Address: 7816 SADDLEBROOK DR.
Company: V H EXTERIORS INC
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 561-262-1641
Address: 543 NW WAVERLY CIRCLE
City: PORT ST. LUCIE State: FL
Zip Code: 34983 Fax: 772-871-2567
Phone N0772-871-6484
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailVHEXTERIORSINC@GMAIL.COM
State or County License21579
---------- ---- •- ---.. ... ......... .. ..�..vnv�.+ iwuRe U1 wlnrnentrement Is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
_
N a m e : ADVANCE HURRICANE TECHNOLOGY INC Name:
Address: 6063 JANES LANE Address:
City: NAPLES State: FL City: State:
Zip: 34109 Phone239-594-7722Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable
_Not
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 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 attorne before commencing work or ecordin yo_Ur Notice o mencement.
Signatur f Owner/ Le-Siee/cltrac r as t for Owner
Signa re of Con ct `License - r
STATE OF FLORIQA v
STATE OF FLORIDA
COUNTY OF St LV CA
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COUNTY OF 5tv
Sworn to (or affirmed) and subscribed before me of
V
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarizati
this J3'O day of S V N Q 2020 by
Physical Presence or Online Notarizatio a
this day of
2020 by
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Name of person making statement. is
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Name of person making statement.
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Personally Known OR Produced Identific i
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Personally Known v OR Produced Identific io
ProTypdof uced ed Identification m ca. �_
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Type of Identification
Produced
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(Signature of Notary Public- State of Florida'
(Signature of Notary Public- State of Florida )
�� �1 (Seal)
Commission No. 001g001&
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Commission No.Seal
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