HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7
Date: FebruaryZ3 2021 Permit Number: �o� '0(p.;? V
RECEIV0
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N0APO
_ FEB 2 4.2021
Building Permit Application Permitting impartment
Planning and Development Services St. Lucie county
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
PRbp%', IIVI-PRCVEME,' L®CAT ON��`` Q,. WIN �?�; W
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Address: 403 N 40TH ST. FT. PIERCE, FL 34951
Property Tax ID#. 2408-602-0027-000-1 Lot No. 15&18
Site Plan Name: FOXX Block No. 2
Project Name: FOXX
DETALLED b,ES RIP ION 0 ORK° � Jr.INSTALL SEVEN (7)ACCORDION HURRICANE SHUTTERS
SIX(6)BAHAMA HURRICANE SHUTTERS
t
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORIVI'%AT Oi!! zn� b. ���� � N {' 4 1
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:$ 11,861.05 Utilities: —Sewer —Septic Building Height:
�3`�i ER/LESSEE: t. COIVTRACTO-R:
t� - _ •
Name GLADYS FOXX Name: MIRIAM VAN VASSEL
Address:403 N.40TH ST. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: FL Address:3100 N. KINGS HIGHWAY
Zip Code: 34947 Fax: City: FT. PIERCE State:FL
Phone No.722 464 2771 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 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.
SUPP,,LEMENTvAL CONSTRUCTION LIEiN VV NIF�ORMATII�O`N s
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.
V�� elk
Sig a u2 of Owner/Lessee/Contractor as Agent for Owner Signatur of C ntractor/License Holder
STATE OF FLORIDA \ STATE OF FLORIDA
COUNTY OF_ • I�V�U�• COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sw7 to(or affirmed)and subscribed before me of
/ Physical Presence or Online Notarization Physical Presence or Online Notarization
this �day of 2020 by this day
�ofl ,2020 by
�'t�l_►�IckYm Vayl -s5>t) --- - ��lt �I ClY� V/an�5e�
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known r/ OR Produced Identification
Type of Identification Type of Identification
Prodi4ced Produced
Vivian Sue Blumey�� ', Vivian Sue Blum
All,Aii
Nr � vuv'n
(Signature of Notary Pam- e _I (Signature of Notary Publ -• of,* iri 297
EXPIRES:April 29,2023 IRES:April 29, 2'02
Commission No. ' ....a�`°� Bdd6t'I)ThIU Aaron Notary Commission No. °''ari "���`` B )ThtU Aerp�Note
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 5/6/20