HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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IL I E, U� =�-- 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:Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 7152 Maidstone DR
Property Tax ID #. 3322-505-0096-000-7 Lot No. 87
Site Plan Name: MAIDSTONE (PB 43-11) LOT 87 (OR 3789-1973) Block No.
Project Name: Vasile Shutters
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutter on Rear SGD- 1 opening
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: $ 1800.00 Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Fern G Vasile-Davilla Name: Jonathan Starratt
Address: 7152 Maidstone DR Company: White Aluminum
City: Port Saint Lucie State: Address: 2933 SE Gran Parkway
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No. 772-801-5544 Zip Code: 34997 Fax:
E-Mail: bssldy24@gmail.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
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State: FL
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 our Notice of Commencement.
x.
Signature of Owner ssee/ tractor as Agent for Owner
Signature of Contra
STATE OF FLORIDA .
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STATE OF FLORIDA
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COUNTY OF I(�
COUNTY OF
Sworn to for affirmed) and subscribed before me of
S orn to for affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Physical Presence or Online Notarization
t is day of s) ] __NW , 202Q by
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Name of person making statement.
Name of person making statement.
Personally Known— OR Produced Identification
Personally Known y� OR Produced Identification
Type of Identification
Type of Identification
Pradu d
Produced
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(Signatu of Notary Public- State of FI da)
(Signature f No ry Public- State of FI rida )
Commission No. Gcx'�JSIC _ (Seal)
Commission No. 1 (Seal)
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