HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
c Building Permit Application
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: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 5775 SUNBERRY CIRCLE. FT. PIERCE
Property Tax ID #: 1312-502-0200-000-4 Lot No.450
Site Plan Name: — Block No.
Project Name: PORTOFINO SHORES / PHASE TWO
DETAILED DESCRIPTION OF WORK: - --
INSTALL 9 - ACCORDION SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— the 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: $ 5570.00 Utilities: —Sewer _ Septic Building Height:
77
77
".�... .
NameTHOMAS SHELTON
Name:VAUGHN HOSKINS
Address: 5775 SUNBERRY CIRCLE
Company:V H EXTERIORS INC
City: FT. PIERCE State:
Address:543 NW WAVERLY CIRCLE
City: PORT ST. LUCIE State: FL
Zip Code: 34951 Fax:
Phone No.812-760-4544
Zip Code: 34983 Fax: 772-871-2567
E-Mail:
Phone No772-871-6484
E-Mail vhexteriorsinc@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License21579
from the Owner listed above)
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: TOWN & COUNTRY IND.
Address:400 WEST MCNAB ROAD
City: FT. LAUDERDALE State
Zip: 33309 Phone954-493-8551
FL.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicaiea.
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 i aying twice for
improvements to your property. A Notice of Commencement must be record d in he public records of St.
Lucie Cgtiunty andocvsted on the jobsite before the first inI�spection. If you inten to ob in financing, consult
.,.+k io er �r o +nrnhcfnro rnmm,nnrin(J wnrk nr &r r M g tour Notice f Com ncement.
WV
Signatu of Owner/ Mssee/Contr—att& as Agent for Owner
Signature -of CdVtractonse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of
worn to (or affirmed) and subscribed before me of
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Vi �P� ysical Presence or Online Notarizatio
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Physical Presence or Online Notarizatio
�•4i SAN 202q by
this OR day of TAN• 2020 by
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this day of
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Name of person making statement.
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Name o person making statement.
Personally Known OR Produced Identifica
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Personally Known OR Produced Identific i
Type of Identification
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Type of Identification
Produced
Produced
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(Signature of Notary Public State of Florida)
(Signature of Notary Public tate of FloridaQN
Commission No. VG 2lip�10092 (Seal)
Commission No. � (S
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20