HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 18, 2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
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Address: 3301 INDUSTRIAL LLC
Property Tax ID#: 1429-801-0001-000-6 Lot No.
Site Plan Name: 3301 INDUSTRIAL LLC Block No.
Project Name: 3301 INDUSTRIAL LLC
-DETAIL D D'ESCRl� €GN$C�F-WA 0" K
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INSTALL SIX 6 ACCORDION HURRICANE SHUTTERS
New Electrical Meter Second Electrical Meter
--.CONSTRUCTION IIl;rC3RIVIAtI,QN
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.-of First Floor:
Cost of Construction:$ 2,057® �C7 Utilities: —Sewer —Septic Building Height:
Q E'R/' EE- CONTRACTC+R.: , =�
Name 3301 INDUSTRIAL LLC Name: MIRIAM VAN VASSEL
Address:3301 INDUSTRIAL 25th ST. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: L Address:3100 N. KINGS HIGHWAY
Zip Code: 34946 Fax: City: FT. PIERCE State:FL
Phone No.772 323 8768 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone N0772-794-1581
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 2-500 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.
�SEMER� ALC01!!STRU01\IIEf�SLAW iFORMATlO'
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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 recording our Notice of Commencement.
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Si ature of/owner/Lessee/Contra for as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDA ) STATE OF FLORIDA '
COUNTY OF LC.-Q�� COUNTY OF ��.
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph sical Pr s nce or Online Notarization Physical Pracanra or Online Notarization
this day of /-�J• 202� by this 139 day of 202d b
Name of person makin�tement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ` OR Produced Identification
Type of Identification Type of Identification
Produced Produce
v�,cvn � yvian_S_ueBlume__
(Signature of Notary PSue Blame
;`-,;�- t0 tm&ION#GG297M (Signature of Notary Pu Flori
� = COMMISSION#G0297846
Commission No. � 4 �� EXppbREC:April 29,2023 • � UNW.)April 29, 2023
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„�;►�„��`` Bonded lhru Aaron Notary Bonded Thru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
IL Rev. 5