HomeMy WebLinkAboutBuilding Permit Application AII:APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 9('o7--tn,�
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RECEIVED
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Building Permit Application JUL 0 7 2020
Planning and Development Services
Building and Code Regulation DivisionST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT'LOCATION:
Address: 3916 Shoreside Dr,North Hutchinson Island,FL 34949
Property Tax ID#:1423-566-0017-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Robert Caputo
DETAILED DESCRIPTION Of WORK:
Install Hurricane Protection Products on(2)openings
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping XShutters _Windows/Doors
X Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$7818.90 Utilities: —Sewer _Septic Building Height:
JINN E R%LESSEE: CONTRACTOR,
NameRobert Caputo Name:Brian Rist
Address:3916 Shoreside Dr Company:Storm Smart Building Systems
City: North Hutchinson Island State:FL Address:6182 Idlewild St
Zip Code: 34949 Fax: City:Fort Myers State FL
Phone No. Zip Code: 33966 Fax:884-330-8277
E-Mail: Phone No 561-229-0048
Fill in fee simple Title Holder on next page(if different E-MailSHale@StormSmartSE.com
from the Owner listed above) State or County License CRC056857
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.
SUPPLEMENTAL CONSTRUCTION LIEN°LAIN INF.O.RMATIQN:
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 Horne Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne 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 CON N EMENT MAY R LT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE . frCOM ENCEMEN MU T BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. YOU 1 END TO All FINANONG, CONSULT
WITH YOUR LENDER OR AN AT BEFORE RECORDING OUR NO C1 OF CO
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Signature of Owner/Lessee Contr ctor as Agent for Owner tigrafure of Contractor/License Hold r
STATE OF FLORIDA„ STATE OF FLORIDA
COUNTY OF_ C COUNTY OF Pb c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'W day of JL SL --,20 0 by this7.&_day of Jtre.AL+sL .20 by
Name of person making statement. Name of person making st ement.
Ye is Samuels
Personal K n�� u i ___ PersonallyKnown OR Produced Identification
T e of l e tific tion Q ° � ��� 4rod
ntification
Produced �.►� oSTATEOFFLORIDA Type ��y Yesenia Sarzuela
Cornm#GG317472 YPUBLIC
i/ I Expires 3/28/2023 WCE -r!
STATE OF 317472FLORIDA
Comm#GG317472 Expires 3/28/2023
(Signatur o Notary Pu is-State of Florida ) ry Public-State of Florida )
Commission No. (o31141% (Seal) Commission No. (.511411 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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