HomeMy WebLinkAboutDelgadoRobShutterPermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Building pp 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: Accordion Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 18 Lake Vista TRL Apt 101
Property Tax ID #: 3422-500-0239-000-4
Site Plan Name: VISTA ST LUCIE BLDG 18 UNIT 101 (OR 3707-405)
Project Name: Delgado
DETAILED DESCRIPTION OF WORK:
Accordion Shutters -(2) Rear SGD
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
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:
Cost of Construction: $ 1,600.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Roberto Delgado
Name: Jonathan Starratt
Address: 18 Lake Vista TRL Apt 101
Company: White Aluminum
City: Port Saint Lucie State:
Zip Code: 34952 Fax:
Phone No. 772-924-1635
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-692-0090
E -Mail: delgadorob@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail astaples@whitealuminum.com
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: Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Seaside Engineers/Edward Roske
Name:
Address: 4265 60th court
Address:
City: State:
City: Vero Beach State: FL
Zip: 32967 Phone 772-202-6006
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 attorne efore commencing work or recording our Notice of Commencement.
Signature of Owner/ ssee/ Vtractor as Agent for Owner Signature of Contractor ense 7der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 17 day of November , 2020 by this 17 day of November , 2020 by
Jonathan Starratt Jonathan Slarratt
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produce,d ProduceA
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