HomeMy WebLinkAboutKirbyPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LLML
c L Q-1 I" L L,- fti —'=— 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: Storm Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 8137 Carnoustie PL
i
Property Tax ID #: 3327-503-0027-000-2 Lot No. 102
Site Plan Name: POD 20C AT THE RESERVE PUD II CASTLE PINES (PB 43-12) LOT 102 (OR 3098-1613) Block No.
Project Name: Kirby
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters - 9 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:
Cost of Construction: $ 4647.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Martha Kirby
Name: Jonathan Starratt
Address: 8137 Carnoustie PL
City: Port Saint Lucie State: _
Zip Code: 34986 Fax:
Phone No. 413-822-0661
Company: White Aluminum
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-692-0090
E-Mail: skirby102@yahoo.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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address:_
City:
Zip:
Phone
State:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 your Notice of Conmencement.
v
Signature of Owner/ ssee/ tractor as Agent for Owner
Signature of Contractor icense [der
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 12020 by
this » day of November 2020 by
Jonathan Starratt
Jonathan Starrett
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
Produced
Produced
(Signature of otary Public- Ste e
(Signature of tary Public State of Fi teos Florid
Sta
n Notary Public 5tate al Florida
Commission No. �G2a o2�'r "�- Angela @ �'
An
n GG 2351W
tic
Wotary puG i�a
GG235102 .9 {� IS S►SP GG2 51�
Commission No. 4 _�d�+yyton
Co,mmtas,
odF' Expires dlto4i2027
s
ExAtir�s p716Al2022
REVIEWS
FRDNT
ZONING
SUPERVISOR
PLANS
VEGETATION
URTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.