HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� �~ Permit Number: `.0
91To dMLE - RECEIVED
JUL 0 6 2020
�° � ° °�� .• ..,. BuildingPermit Application
Permitting
Planning and Development Services ST. Lucie County,
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
�i 4. ytE kifi•k t9 ''" k a-, a
PR_OPOSED IIVIPROVEME'�NT LOCATION
Address: 4404 ARECA PALM DR.
Property Tax ID M.243480200260009 Lot No.
Site Plan Name: Block No.
Project Name:
D`1=TAILED DESCRIPTIONiOF'UVORK, h47,
INSTALL STROM PANELS .
ON TWO WINDOWS LOCATED AT THE FRONT OF THE HOUSE
THEY ARE THE ONLY TWON WINDOWS ON THE FRONT
New Electrical Meter Second Electrical Meter
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CONSTFtUCTI0IV�'INPORIVIATI ON.
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: $ 700.00 Utilities: _Sewer Septic Building Height:
0;WNER/LESSEE CONTRACTOR
Name John Carl Peterson Name:
Address:4404 Areca Palm Dr. Company:
City: Ft. Pierce State:_ Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-528-2777 Zip Code: Fax:
E-Mail:caripeterson777@yahoo.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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.
SUPPLEMENTiAL CONSTRUCs,T LA►WIONtLIEN1 INFORMATION p
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 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 attQrney before commencing work or recording our Notice of Commencement.
t '
Si a ure of O ner a see/Contractor as Agent for Owner Si n ture of ontra r/License Holder
STATE OF FLORIDA STATE OF FL IDA
COUNTY OF COUNTY O
V'k
Sworn to(or affirmed)and subscribed before me of Sworn t or affirmed)an ubscribed before a of
Physical Prese ce or Online Notarization ysical Presence Online N arization
this�day of 2020 by thi day of 2 0 by
Name of person making statement. Name of perso making stateme
Personally Known ✓ OR Produced Identification Personally nown Produced Identif ation
Type of Identification Type entification
Produced .� Pro u ed
I=,
(Signature of Notary ublic-State of Florida) (Signature of ary Public-St to f Florida )
KAREI)I 'ELSEN
Commission No. �`��"°"B' to of Fltrtr1? Notary Public Commission No. (Seal)
=• Commission # GG 207484
;y �_
-b P; M Commission'Ex fires
Irl'I 60 June 12, 2022
REVIEWS F R PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S 20