HomeMy WebLinkAbout2640_001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S 1; L-Li_ .l_
C D J 1
L L Lti -- 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:A000I"dion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 8 Isabella LN
Property Tax ID #. 3426-500-0671-000-6 Lot No.
Site Plan Name: ST LUCIE GARDENS 26 36 40 THAT PART OF BILKS 1 AND 2 LYG ELY OF US #1 AS SHOWN IN OR 2389-720 BEING LOT 8 ISABELLA LANE Block No.
Project Name: Perry-Accordions
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters - 8 openings
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: $ 7199.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Margurite S Perry Name: Jonathan Starratt
Address: 8 Isabella LN Company: White Aluminum
City: PSL State: Address: 2880 SW 42nd Avenue
Zip Code: 34952 Fax: City: Palm City State: FL
Phone No. 516-383-7934 Zip Code: 34990 Fax:
E-Mail: Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different E-Mail astaples@whitealuminum.com
from the Owner listed above) State or County License CGC 1523855
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:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State: FL
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:—
Sworn
hone:
x Not Applicable
State:
x Not Applicable
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 recording our Notice of Commencement.
Signature of Own esse actor as Agent for Owner Signature of Contrac /Lice Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF 1 COUNTY OF
Sw n to (or affirmed) and subscribed before me of
Physical Pre e r nline Notarization
t Is day of 12020 by
OY�Gi�xI wci+
Name of person making statement.
Personally Known OR Produced Identification _
Type of Identificatio
Produced
(SignaturefVTotary Public- State of Flforida )
Commission
Public State of Florida
Sw n to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
this jU day of
2020 by
Name of person making statement.
Personally Known_ OR Produced Identification
Type of Identification
Produced
(Signa'turle of gtary Pu lic- State of Florida
Commission No.
� Public State of FIaI
�pe1a stapes
My Gommfe a 22 2351
My Commis can
REVIEWS FROJE
1�--"F ',foN r,@s 1) 71 4+1 � V PLANS VEGETATION TEFR'I '� -MANGROVE
COUN J E REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED