HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ZlJZ, Permit Number: a�0 ��ya
RECEIVED
21To[LUMIS — � JAN 2 0 2021
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MI ' ` BuildingPit Application Permitting Department
erm pp St. Lucie County
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: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 8406 WINTER GARDEN PARKWAY FT. PIERCE, FL 34951
Property Tax ID#: 1301-605-0354-000-0 Lot No.2
Site Plan Name: CHENETTE Block No. 55
Project Name: CHENETTE
DETAILED DESCRIPTION OF WORK:
INSTALL THREE (3)ACCORDION HURRICANE SHUTTERS
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: $ 2,312.76 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MAURICE CHENETTE Name: MIRIAN VAN TASSEL
Address:8406 WINTER GARDEN PARKWAY Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE. State: Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax:_ _ City: FT. PIERCE State:FL
Phone No. / Zip Code: 34951 Fax: 772 794 1590
E-Mail: Phone N0772 794 1581
Fill in fee si�ple Title Holder on next page i fr airrereFIL E-Mail DVTHURRICANESHUTTERSINC@HOTMAIL.COM
from the Owner listed above) State or County License24394
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.
i
p,SUP4PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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 recordjng your Notice of Commencement.
Signature bf Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF LQ COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Prese a or Online Notarization Physical Presence or Online Notarization
this I 1__+ day of 202�f by this 11 dnay of c, o. 2020 by
M Gr'1 /�� �
Name of person making statement. Name of person making statement.
Personally Known /OR Produced Identification Personally Known ----OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Vivian Sue Blumeft .� •�!�'% Vivian Sue Blurnk::
( ignature of Notary P_ C-Afit _FI (Signature of Notary Phicc- to Flgl' a. $:April 29 ?.0?.:
20 EXPIRES April 29, 2023 ` i�•• ���`' to '
Commission No. %'�" •.�`� gpl)mN Aaron Notary Commission No. Bont �1N Aaron NQtai';Y
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