HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
6b�— Q �
Date: �Z-�\ ?�7� Permit Number: REcervFn
n [LuaI - � SEP 5 1020
;, Permitting Department
Pr d ' . D Cv : St. Lucie County
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 3950 SUNRISE BLVD. FT. PIERCE, FL 34982
Property Tax ID#: 2433-142-0004-000-1 Lot No.
Site Plan Name: BIGLIN Block No.
Project Name: BIGLIN
DETAILED DESCRIPTION OF WORK:
INSTALL THREE (3) HURRICANE ACCORDION SHUTTERS AND
F_161l r(R)BAHAMA HURRICANE SHUTTERS
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 _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: $6,779.50 Sq. Ft. of First Floor:
Cost of Construction:$ Utilities:. —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JUDY BIGLIN Name: MIRIAN VAN TASSEL
Address:3950 SUNRISE BLVD. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: Address:3100 N. KINGS HIGHWAY
Zip Code: 34982 Fax: City: FT. PIERCE State:FL
Phone No.772 216 6661 Zip Code: 34951 Fax: 772 794 1590
E-Mail: Phone No772 794 1581
Fill in fee simple Title Holder on next page(if different E-Mail DVTHURRICANESHUTTERSINC@HOTMAIL.COM
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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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 attorn before commencing work or recording our Notice of Commencement.
Signature T
Owner/Lessee/Contractor as Agent for Owner Sig a ure of Contractor/License Holder
STATE OF FLORIDA / � 2 STATE OF COUNTY OF
COUNTY OF �� L-,_ A
`7
Sworn to(or affirmed)and subscribed before me of Sworg to(or affirmed)and subscribed before me of
Physical Presence or 'Online Notarization nPhysical Presence or Online Notarization
this 2_2,day of 2020 by this,'Z day of 2020 by
( /
Name of person making statement. Name of persontatement.
Personally Known ✓st OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro0umd Produ
Vivian me
r�
'V'¢j Vivian Sue Blume �/.�'•,, Sue Btu
" 0 ffiffft T6�A&2::� IVIV#W297M6
(Signature of Notary PgWic- t F o (Signature of Notary P# J: t
� EXPIR S:April 29, 2023 � S:April 29, 2023
Commission No. '''!i�; .,,.o�``` Bo4dedIThru Aaron Notary Commission No. hi Aaron Notar
y
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20