HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: ZD Permit Number:
2 O d���C �
J RECEIVED
AN 2 0 2021
Building Permit Application Permitting Department
Planning and Development Services
5t. Lucie County
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: 2902 LANGSTON DR. FT, PIERCE, FL 34946
Property Tax ID#: 1432-806-0075-000-0 Lot No.207
Site Plan Name: SMITH Block No.
Project Name: SMITH
DETAILED DESCRIPTION OF WORK:
INSTALL FIVE(5) 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:$ 3,368.92 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJAMES SMITH Name: MIRIAN VAN TASSEL
Address: 2902 LANGSTON DR. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:rrl, Address:3100 N. KINGS HIGHWAY
Zip Code: 34946 Fax: City: FT. PIERCE State:FL
Phone No.772 464 9548- Zip Code: 34951 Fax: 772 794 1590
E-Mail: Phone N0772 794 1581
v
Fill in fee simple Title Holder on next page(if different 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.
,SU,PPLEMENTAL 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 der or an attor.ney before commencing work or recording our Notice of Comme cement.
Signature I
f Owner/Lessee/Contractor as Agent for Owner Signature f Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA I
COUNTY OF S- - Lc'- � COUNTY OF s�' L Q
Sworn (or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization `�Fysical Presence or Online Notarization
this I / day of rn L�c A Z2 2021 by this 11 day of<S u tk.Y-_ _2020 by
i 6 o, i/V7 V� r�6LN�-e � �r �( GI v�a S 8
Name of person making statement. Name of person making statement.
Personally Known `FOR Produced Identification Personally Known ----OR.Produced Identification
Type of Identification Type of Identification
Produpe,cl Produced
It lvian Sue.Blume
Vivian Sue Blume
3
(Signature of Notarb Sttg o (Signature of Notary P �ii tc c FPS:April 29 2023
EXPIRES:April 29,2023 -,'? ;•..•••
Commission No. `''%;;�m �r�P` Bondef �iil Aaron Notary Commission NO. �''��fit++�`` B� ��Aaron Notary
MOP r'
RO
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.