HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: SHUTTERS
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Address: 280 LAMONT RD. FT. PIERCE FL.34947
Property Tax ID#: 2312-123-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: 123539E V2OF"1/4 OF NE V4{ESSW4IFT FOR RD AND CANAL-ANDE295.17 FT OF W342.17F7 OF N295.17FT OF SW114 OF NE1l0.LEW W47FT FOR RD AND DANAL-(21.82)
INSTALL 2- BAHAMA SHUTTERS AND 12-OPENINGS WITH ALL CLEAR PANELS.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—c k 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:$ 5328.00 Utilities: —Sewer —Septic Building Height:
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Name MARY JEANNE WILSON Name:VAUGHN HOSKINS
Address:280 LAMONT RD. Company:V H EXTERIORS INC
City: FT. PIERCE State:_ Address:543 NW WAVERLY CIR.
Zip Code: 34947 Fax: City: PORT ST. LUCIE State:FL.
Phone No.772-216-5114 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail vhexteriorsinc@gmail.com
from the Owner listed above) State or County License21579
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.
DESIGN ER/ENGInNEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:TOWN&COUNTRY AND Name:
Address:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone954-970-9999 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 recording your Notice of Commencement.
Signa ure o caner/Les ee/Contractor as Agent for Owner Sign ture ntra /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
Sworn to(or affirmed)and subscribed before me f Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notariza n Physical Presence or Online Notarization
this�day of OC+ 2020 by N this�� day of o 4'3c 2020 by
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ipo 1 hts I�OSk>NS vfiV �N �CS�C�NS _
Name of person making statement. "�X'1 Name of person making statement. -6 a
(D it a Z
Personally Known OR Produced Identifi of t) Personally Known OR Produced Identificati
Type of Identification a Type of Identification v.
Produced Produced a' o
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(Signature of Notary Public-State of Florida 4r (Signature of Notary Public-State of Florida) }'
Commission No.VG dD ! (Seal) Commission No. V(�G �t 1���+� (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.