HomeMy WebLinkAboutDevinePermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L= c J `` c L tz _ 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: Storm Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 10131 Wild Quail DR
Property Tax ID #: 3322-621-0025-000-6 Lot No.
Site Plan Name: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE (PB 42-33) LOT 16 Block No.
Project Name: Devine Shutters
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutter on rear lanai
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: $ 2295.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
_
CONTRACTOR:
Name Michael Devine
Name: Jonathan Starratt
Address: 10131 Wild Quail DR
Company: White Aluminum
City: Port St Lucie State:
Address: 2880 SW 42nd Avenue
City: Palm City State: FL
Zip Code: 34986 Fax:
Phone No. 646-300-1863
Zip Code: 34990 Fax:
E -Mail: devinemichael51@gmail.com
Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different
E -Mail astaples@whitealuminum.com
State or County License CGC 1523855
from the Owner listed above)
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: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State: FL
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
State:
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 your Notice of Commencement.
G
Signature of Owne else ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ni t
Signature of Contrac jLiced7 er
STATE OF FLORIDA n
COUNTY OF _ ) A
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Q Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produce
{Signa ure of NoOry Public- State of Florid )
Commission No.
y r Awa. iyotsry Pub Ic Stale of Florida
.'' ='r" Angela 5laP1es 235102
"r ` '• EXpif25 (}7! 1412022
REVIEWS FRON"°'�` 0
COUN EW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Nota Public- State of Florid )
Commission No. G6 All r eiycStake ofF1orida
Angela 5lsples
«�n GG 235102
710412022
PLANS VEGETATION
REVIEW REVIEW I REVIEW