HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Sept. 020 Permit Number:(j®
rMl.ILLJC 18 �h RECEIVED
J � Building Permit Application SEP 2 Mo
Rfrnnittin
Planning and Development Services St. Lu i epa ment
Building and Code Regulation Division Commercial Residential X County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 31 LAGOS DEL NORTE
Property Tax ID#: 1301-500-0692-000-9 Lot No.31
Site Plan Name: YAWORSKI Block No.
Project Name: YAWORSKI
DETAILED DESCRIPTION OF WORK:
INSTALL THREE(3) HURRICANE ACCORDION 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: Sq. Ft. of First Floor:
Cost of Construction: $ 2381.07 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MELANIE YAWORSKI Name: MIRIAN VAN TASSEL
Address:31 LAGOS DEL NORTE Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:,L/, Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
602 220 7163 34951 772 794 1590
Phone No. Zip Code: Fax:
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.
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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 attorney before commencing work or recordigg your Notice of Commencement.
Signature ot Owner/Less a/Contractor as Agent for Owner Signature f Contractor/License older
STATE OF FLORIDA �1 STATE OF FLORIDA
COUNTY OF ;)�t- COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence o Online Notarization Physi resence or Online Notarization
this day o 2020 by this ' ,d of 2020 by
i U V1/1 Va ��� ^� a �� I
Name o person making ent. Name of p son making statement. j
' ivian Sue Blume y
vial Al Blume
Personally Known = �r�d OSO�a�t 07M Personally Known eJVAVARfic
Type of Identification; • EXPIRES:April 29, 2023 Type of Identificatio COMMISSIO GG2978 6
Produced � f B�„Thru Aaron Notary Produced ••; PIRf. April 29;I2023
q.� i 161' Avian Sue Blume Z
``�lvbRdq§LV §otary
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(Signature of Notar)g]?,�b St Q o (Signature of Notar,ftbl tz*E o
�� EXPIRES:April 29, 2023 EXPIRES:April 29, 2023
Commission No. 'a;{���qa�``` BonddS4bhL Aaron Notary Commission No. ''' i„�r�`�` Bonded( lAaron Notary'
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW!
DATE
RECEIVED
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COMPLETED
�ev. 5/6/20
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