HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: AUGUST 17, 2020 Permit'"Number: �C90
91r. [LUCEW*D
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:HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION
Address: 14512 AGUILA AVE, FT. PIERCE, FL 34951
Property Tax ID #: 1306-500-0303-000-1
Site Plan Name: MOORE
Project Name: MOORE
DETAILED DESCRIPTION OF WORK:
INSTALL THREE (3) HURRICANE ACCORDION SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.47
Block No. 62
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors _
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,971,82 Utilities: —Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT MOORE
Name: MIRIAN VAN TASSEL
Company: DVT HURRICANE SHUTTERS, INC.
Address:14512 AGUILA AVE.
City: FT. PIERCE State:,
Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax:
City: FT. PIERCE State: FL
Phone No. 772 465 7067
Zip Code: 34951 Fax: 772 794 1590
Phone No 772 794 1581
E-Mail DVTHURRICANESHUTTERSINC@HOTMAIL.COM
E-Mail: "
Fill in fee. simple Title Holder on next page ( if different
from the Owner listed above)
State or County License24394
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:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 attornev before commencing work or recording vour Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
Signature o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF -
COUNTY OF C—L
SworPto (or affirmed) and subscribed before me of
Sworn o (or affirmed) and subscribed before me of
hysical Presenc or nline Notarization
Physical Prese a or Online Notarization
this �1 day of 2020 by
this y of 2020 by
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Name of person making statement.
Name of erson making statement.
Personally Known V OR Produced Identification
Personally Known `"FOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
; gfiy'�pVivian Sue Blume
• 1 Vivian Sue Blume
,
(Signature of Notary 13*1i a.*--f Mrs.. A ril 29, 2023
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(Signature of Notary li a �f Ptmffill
EXPIRES• April 29, 2023
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Commission No. �p�Q;,�a`BonOOdall iru Aaron Notary
Commission No. a �R..a``� Bonda"ili Aaron Notary
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