HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L ' L c f� ^r~- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 780 SE River Ct
Property Tax ID #: 3427-701-0044-000-2 Lot No.
Site Plan Name: HIDDEN RIVER ESTATES BLK 3 LOT 9 (OR 3844-1130) Block No.
Project Name: Spohn Shutters
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters - 10 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: $ 7613.00 _ Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Michael J Spohn Name: Jonathan Starratt
Address: 780 SE River CT Company White Aluminum
City: Port Saint Lucie State: R— Address: 2880 SW 42nd Avenue
Zip Code: 34983 Fax: City: Palm City State. FL
Phone No. 315-794-7856 Zip Code: 34990 Fax:
E-Mail: mjcspohn@aol.com 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: x Not Applicable
Name:
Address:
City:
Zip:
Ph
MORTGAGE COMPANY
Name:_
Address:
State: City:
Zip:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
Phone:
x Not Applicable
Late:
BONDING COMPANY: x Not Applicable
Name:
Address:
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 recordinp- vour Notice -at Conamancement.
i Signature of Owner/
STATE OF FLORID
COUNTY OF �(,�
as Agent for Owner
rn to (or affirmed) and subscribed before me of
Physical Presenc r line Notarization
t is day of , 2020 by
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Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio
Produced A .�
(Sigrfattfre of NWary Public- State of Florida )
Signature of Contra
STATE OF FLORIDA
COUNTY OF yna&ig.2
S%vrn to (or affirmed) and subscribed before me of
P��W,yslcal Prese ce r ❑ Ine Notarization
t is !day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio
Produced a
(Signature of Ndfary Public- State of Florida )
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