HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March (gl 2021 Permit Number:
RECEIVED
' MAR 18 7o2i
to ° Building Permit Application
Permitting o-:parlment
Planning and Development Services St. Lucie County
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: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 7684 GREENBRIER CIR PORT ST. LUCIE, FL 34986
Property Tax ID#: 3322-700-0037-000-5 Lot No.32
Site Plan Name: LABOY Block No.
Project Name: LABOY
DETAILED DESCRIPTION OF WORK:
INSTALL FOURTEEN (14)ACCORDION HURRICANE SHUTTERS .
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional workto 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:$ 7,553.97 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name RAFAEL LABOY Name: MIRIAM VAN VASSEL
Address:7864 GREENBRIER CIRCLE Company:DVT HURRICANE SHUTTERS, INC.
City: PORT ST. LUCIE State: Address:3100 N. KINGS HIGHWAY
Zip Code: 34986 Fax: City: FT. PIERCE State:FL
Phone No.305 987 0137 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-Maildvthurricaneshuttersinc@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 attornQy before commencing work or recording our Notice of Commencement.
Y)liim atnti� cam.�� V �U- °
Signatur of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA L STATE OF FLORIDA
COUNTY OF �1 L V-��- COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Phy5kaLPIFe-seme or Online Notarization Physical Presence or Online Notarization
this If day of Al. /c 202� by ` this I day of /"l A Y/c/' 202t by
1l
V Gi V1.�G�-SS e/ 1 I a yn V �/-, P/
Name of person making statement. Name of person making statement.
PeDaoAlly Known OR Produced Identification Perso_nallTv .Kngva OR Produced Identification
Type of Identification Type of Identification
Prod Produc
Ir V, avian Sue Blume �U `'V' Vivian Sue Blume
(Signature of NotaryP^bl t�t�o �l�` (Signature of NotaryVl5bli aid-f a
^ :April 29, 2023 E :April 29 2023
Bond Aaron Notary �''� �Commission No. ani qd ry Commission No. gonde �(pn Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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