HomeMy WebLinkAboutKevin King Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Mt [LUCE
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V °' 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: 9900 S OCEAN DR 508, JENSEN BEACH, FL. 34957
Property Tax IDft:4502-503-0052-000-6 Lot No.____ _
Site Plan Name: _
Project Name: KEVIN KING
Block No.
I DETAILED DESCRIPTION OF WORK: I
2 accordion shutters at
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 x Shutters —Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1093.00 Utilities: -Sewer _Septic Building Height: 140 ft.
EE;
CONTRACTOR:
ING
Name:Edwing Sosa _
OCEAN DR, #508
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Company:Edwing's Unlimited Shutter Services LLC.
Address:PO Box 881085
BEACH Stater
7 Fax:City:
Phone No. ) 550-5431
E-Mail: ,ti u/�i L , Co.Y7
Port St. Lucie State:FL.
Zip Code: 34988-1085 Fax: (772) 905-9431
Phone No (772) 370-0766
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailed@edsunlimitedservices.com
State or County License28457
If value of construction is z5uu or more, a KLLVKUCU NUUM of WllunencCnrona �a ,cyan
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEEK: 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
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
CONTRACTOR AFFIDVIT: Annlication is herebv made to obtain a Dermit 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ict 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 or 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 Coun y and posted on the jobsit before the first inspection. If you intend to obtain financing, consult
with lendororan attorney before co mencin work or recording our Notice of Commencement.
Signatu of Owner/ Lessee/Contractor as A nt for owner
Signature of Contra Yor/License Holder
STA OF Pblillftftht---KV5
STATE OF FLORIDA
COUNTY OF S A.Lo"I S
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
— Physical Presence or Online Notarization
_3efPhysiwl Presence or Online Notarization
this �_ day of $p iC Y0. 6w� , 2020 bby
this day of Y�� per , 2020 by
Name of person making statement.
Name of person rrhMng statement.
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