HomeMy WebLinkAboutDirobbioApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`i - 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: 166 MEDITERRANEAN BLVD
Property Tax ID #: 3426-500-1064-000-5
Lot No. 166
Site Plan Name: ST LUCIE GARDENS 26 36 40
Block No. 1&2
Project Name: DiRobbio
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters - 9 openings
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 _ Shutters _ Windows/Doors
J Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof
Pitch
Total Sq. Ft of Construction. Sq. Ft. of First Floor:
Cost of Construction: $ 6070 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name David A DiRobbio Name: Jonathan Starratt
Address: 166 N Mediterranean BLVD Company: White Aluminum
City: Port St Lucie State: ` Address: 2880 SW 42nd Avenue
Zip Code: 34952 Fax: City: Palm City
State: FL
Phone No. 772-341-4816 Zip Code: 34990 Fax: 772-877-2753
E-Mail: Phone No 772-212-1400
Fill in fee simple Title Holder on next page ( if different E-Mail astaples@whitealuminum.com
from the Owner listed above) State or County License CGC 1523855
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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
State:
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 attorqey before commencing work or recording our Notice of Commencement.
.r
i
Signature of Owner Lesse Contractor as Agent for Owner Signature of Contoktorg,kense Holder
STATE OF FLORID
COUNTY OF L
Sto (or affirmed) and subscribed before me of
7Physical Presence or Online Notarization
this day of 12020 by
Name of person making statement.
Personally Known —-�OR Produced Identification
Type of Identification
Produced,
(Signature'of NotWy Public- State of FI
Commission No. C
STATE OF FLORIDA ]
COUNTY OF wpi-) f
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 12020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced _
(Signature of NotaroPublic- State of Florida )
�jI tateofROFida Commission No.
Angela' tap s
My Commission { 2351t72
.ten..
REVIEWS FF: Z I SUPERVISOR PLANS VEGETATIO
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
REVIEW
PAU state of Florda
Ssaples
rn1ssion GG 235102
REVIEW
ev.