HomeMy WebLinkAboutPERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
S
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Storm Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8816 One Putt Place
Permit Number:
Building Permit Application
Commercial Residential X
Property Tax ID M: 3334-500-0016-000-5 Lot No. 5
Site Plan Name: POD 33 AT THE RESERVE PHASE I KINGSMILL LOT 5 (OR 1831-716: 3856-1823) Block No.
Project Name: Jan Paul Kaupas
DETAILED DESCRIPTION OF WORK:
Install hurricane protection products on (2) openings
CONSTRUCTION INFORMATION:
Additional workto be performed underthis permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10,387.05
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jan Paul Kaupas
Name: Noreen Rayner
Address: 8816 One Putt Place
Company: Storm Smart of Southeast FL
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (215) 630-6300
Address: 4047 Okeechobee Blvd Suite 106
City: West Palm Beach State: FL
Zip Code: 33409 Fax:
Phone No 561-229-0048
E-Mail: kaupasjanp@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@stormsmartse.com
State or County License CRC1332755
If value of construction is 52500 or more, a RECORDED Notice of Commencement Is regqulrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
X Not Applicable
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 Counttyy makes no representation that is granting a permit will authorize the 0ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or antl 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of caner/LesseeCon,tor as Agent for Owner
Signature of Contra/sder
STATE OF FLORIDA
STATE OF FLORIDA
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The forgoing instrument was acknowledged before me
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Name of person making state ent.
Name of person making statement.
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Personally Known OR Produced Identification
Type of Identification
Type of Identification
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