HomeMy WebLinkAboutBuilding permit AppAll APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: p // S /a oT Permit Number:
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR:Accordion Shutters & Hurricane Screens
PROPOSED IMPROVEMENT LOCATION:
Address: 278 Bermuda Beach Drive
Property Tax ID ##: 1425-701-0089-000-7
Site Plan Name:
Project Name: Reynolds
I DETAILED DESCRIPTION OF WORK:
Install S Accordion Shutters & 15 Hurricane Screens
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 16,000.00
Generator
Lot No. 25
Block No. 4
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Britt D Reynolds
Name: John Zervopoulos
Address: 278 Bermuda Beach Drive
Company: Advanced Hurricane Protection
City: Ft. Pierce State: 17—:L-
Zip Code: 34949 Fax:
Phone No. 772-370-3785
Address:4517 SE Commerce Ave
City: Stuart State: FL
Zip Code: 34997 Fax: NIA
Phone No 772-220-1200
E-Mail: BDReynoldsl1@aol.com
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
E-Mail John@AdvancedHurricane.net
State or County License CBC1259339
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:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 attorney before cg imeTm pg work or recording your Notice of Commend ent.
Si ature of O r/ Lessee/C tractor as Agent for Owner
f ontractor/Li
nse Holder
S O F R I D A
=TEFLORIDA
COUNTY OF Mertin
COUNTY OF Marlin
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and
subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or
Online Notarization
this 19th day of August 12020 by
this 191h day of August
12020 by
John Zervopculos
John Zervopoulcs
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signatuire of Notary.Public- State of Florida)
(�igniaturle of Notary Public-
�!`Y a Public State of Eland
Commission NO. GG133395 o r (iY
CQ mISS]Qn No. GG133395
o Y P No N P buc State of Florida
2 r �INo�dt
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y Cammtssion GG 13338
u ;. _ o` My Commission GG 133395
'rc,, Expires 0811012021
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Rev.5/6/20