HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: Ou i A Janioei Ave., Fort Hierc
Property Tax ID #: 1301-615-0180-000-0
Site Plan Name:
Project Name: Forrest Link
I DETAILED DESCRIPTION OF WORK:
14 aluminum panels
FL 34951
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 XShutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,486.00
Generator
Sq. Ft. of First Floor:
Lot No.10
Block No. 176
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height: 15ft.
OWNER/LESSEE:
CONTRACTOR:
Name Forrest Link
Name:Juan Felipe Sosa
Address:5013 Sanibel Ave.
Company:Edwing's Unlimited Shutter Services LLC.
Address:PO Box 881085
City: Fort Pierce State: FL.
Zip Code: 34951 Fax:
Phone No. (772) 216-2359
City: Port St. Lucie State: FL.
Zip Code: 34988-1085 Fax: (772) 905-9431
Phone No(772) 370-0766
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It..-...--.----- • . ----
E-Mailed@edsunllmltedserylces.com
State or County License31373
-- ---------•_ •-•• •••w— a iii �wnv .wine ui �urrimuncemem is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ut5,it3 Nt K/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Address: Address:
City:
City.
Zip: Phone:
Zip:
w-1—n/ w1v i nmt, i un mrriuvi i : 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: Yourfailure 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 iobsite before the first incrner•tinn
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5T L Lk u COUNTY OF—,-* L Mjf,
SwoLn to (or affirmed) and subscribed before me of
V to
Presence or Online Notarization
this 2 0 day of Tti n 2021 by
FEE 1iY CS 1 { Lin v\
Name of person making statement.
Personally Known OR Produced Identification V
Type of IderUification
A,ti eA -r, ")b J—a
BLANCA L SOSA
Commission No. ':PAX Notary Publ�e of FloridaSt
Comlrl.SSpG 959255 My Comm. Expires May 29, 2024
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DATE
CO
ence
Swojp to (or affirmed) and subscribed before me of
V �PP,hyyical Pre ence or Online Notarization
this '/J day of � 9928 by
I�1 OI, a, u ILLM.t n,vi 21
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
(Signature of N ru..lii,a0
%iaV O�eyc OIANA WORKMAN
Commission N � Notary Public • Statl�pp WEE
lesion # GG'351634
"`;ar r�';` My Comm. Expires Jul 4, 2023
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