HomeMy WebLinkAboutRafael Schuck Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L, L ° L' tk R` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9400 S Ocean Dr. #206B, Jensen Beach FL. 34957
Property Tax ID #: 3535-702-0013-000-1 Lot No. _
Site Plan Name: Block No.
Project Name: Rafael & Leonor E Schuck
DETAILED DESCRIPTION OF WORK:
1 accordion shutter at the balcony area
1 manual roll -up master bedroom
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 xShutters
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,474.00
_ Generator
Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height: 80 ft.
OWNER/LESSEE:
CONTRACTOR:
Name Rafael & Leonor E Schuck
Address:9400 S Ocean Dr. #20613
Name:Edwing Sosa
Company!Edwing's Unlimited Shutter Services LLC.
Address -PO Box 881085
city: Jensen Beach Stater`.
Zip Code: 34957 Fax:_
Phone No.(786) 301-0191
city: Port St. Lucie State: FL.
Zip Code: 34988-1085 Fax: (772) 905-9431
Phone No(772) 370-0766
E-Mail:_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailedCaiedsunllmltedserylces.com
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 LAW 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 permitwill 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 commencing work or recording our Notice of Commencement.
Signat Ire of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contr ctor/License Holder
STATE OF FLORIDA �A
COUNTY OF I" a% I% 'c
STATE OF FLORIDA
COUNTY OFF
Sv�qyn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Q0 day of i 2020 by
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this -X-7 day of f, . 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Person ly Known OR Produced Identification
Type of Ident'fication r
Produced ER'V;e
Type o Id ntifl ation
Pr ; d
(Signature of ar -
Notary Public• State of Florida
Commission No. `'� commission r%M?871
•., m...� �y C3Pom. Expires Mar 1, i02�
Bonded through National Notary Assn.
ignaur oPfc-Sacyp ANA MABCELA ALABCON
Commission No. ,�5�° +; ee Public -State of Flodda
P, mission aGG 135318
fin,; My Comm.Expires Aug 16, 2021
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