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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - a' 4`o 6 Date: Permit Number. 1 LU t{�!{CnJUN 2 Building Permit Applicet!on ; }, Planning and Development Services Building and Code Regulation Division commercial x Residential 2300 Virginia Avenue,Fort Pierce Ft 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR:HURRICANE SHUTTERS i PROPOSED I,MPRQVEMENT LQCATI;ON Address: 9400 S OCEAN DR 707 - Property Tax ID#. 3535-702-0054-000-0 Lot No. Site Plan Name: Block No. Project Name: DNY PROPERTIES LLC DETAILED DE SCRIRTION"UF WORK 2 ACCORDION SHUTTERS AT THE BACK 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 -X Shutters _Windows/Doors Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 3,567.00 Utilities: _Sewer —Septic Building Height: 80 ft. OWN ER/LESSEE: .CONTRACTOR• 1 ,< NameDNY PROPERTIES LLC (Neil Youshak) Name:Edwing Sosa Address:9400 S OCEAN DR#707 Company:Edwing's Unlimited Shutter Services LLC. City: JENSEN BEACH State: FL. Address:PO Box 881085 Zip Code: 34957 Fax: city: Port St. Lucie State:FL. Phone No.(954) 478-3153 zip Code: 34988-1085 Fax: (772) 905-9431 E-Mail: Phone No(772) 370-0766 Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License28457 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 LAV!/ INFORMATION - DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 wilt-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 1 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 pr rty. A Notice of Commencement must be recorded in the public records of St. Lucie County and st or�/the jobsite before the first inspection.If you intend to obtain financing, consult with lender or tt ne bef a commencing work or recording our Notice of Commencement. n Signature of Own / essee/Contractor as Agent for Owner Signature of Contr ctor/License Holder STATE OF FLORIDA STATE OF I IDA COUNTY OFST.LUCIE COUNTY OF ST.LUCIE Swto(or affirmed)and subscribed before me of SwoJ�to(or affirmed)and subscribed before me of oln Physical Presence or Online Notarization i/ Physical Presence or Online Notarization this `a day ofTLA-^e- 2020 by this C-05 day of�__ ,2020 by N \I e) I 1' © t.(S'�gK o —. Name of person making statement. Name of person mabnk ma " statement. Personally Known OR Produced Identification I/ Personally own OR Produced Identification 1i Type of Ide fication Type of Id ification Produced . , ' Produ d c� &f.,, VVPA (Signature of Notaryi L SOSA (Sign re N tary Pu i. OM;MIRCELA ALARCON •.,: a°. �; Nota Public-State of Florida r$• Notary Public-State of Florida Notary Commission No. ':' • •" Commis(TogIpG959255 Commission No. * Co 959255 io GG 135318 a M Comm.Expires May 29,2024 0; My CoriVl� s Aug 16,2021 "•.� y ',5°.... Banded through National Notary Assn. $onded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/ZU _J