HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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�. 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: ACCORDION SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 168 CAMINO DEL RIO, PORT ST. LUCIE FL. 34952
Property Tax ID #: 3427-500-01700-000-7 Lot No.168
Site Plan Name: SPANISH LAKE RIVERFRONT Block No.
Project Name: —
DETAILED DESCRIPTIONOFWORK:
INSTALL THREE ACCORDION SHUTTERS ON BACK PORCH.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— ch%kallthatapply:
_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: $ 3440.00 Utilities: _ Sewer _ Septic Building Height:
Name ROBERT DOWNS
Name:VAUGHN HOSKINS
Address:168 CAMINO DEL RIO
Company:V H EXTERIORS INC
City: PORT ST. LUCIE State: _
Address:543 NW WAVERLY CIRCLE
City: PORT ST. LUCIE State: FL.
Zip Code: 34952 Fax:
Phone No. 772-919-1700
Zip Code: 34983 Fax: 772-871-6484
E-Mail:
Phone N0772-871-6484
Fill in fee simple Title Holder on next page ( if different
E-Mailvhexteriorsinc@gmail.com
from the Owner listed above)
State or County License #21579
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:
Name: TOWN & COUNTRY IND.
Address:400 WEST MCNAB RD.
CItV: FTLAUDERDALE
_ Not Applicable
Zip: 33309 Phone954-493-8551
State: FL.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
_Not Applicable
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
Lpro ements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie ounty and poste on the jobsite before the first inspec n. If you intend t btain financing, consult
w'th lender or an atto4ev,before commencin work or recording your Notice oflt6i mencement.
Sign re o O / es a tractor A Agent for Owner
Sign Yure of Co racto /Lice a Holder
'A
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presencg or Online Notarization
Physical Presence or Online Notarization
This day of �Q.0 202Q by
this t,} day of Q% 2021 by
Name of -person making statement.
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Name of person making statement.
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Personally Known OR Produced Identifi tigg6rgb�
Personally Know OR Produced Identificati�
Type of Identification
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Type of Identification
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Produced
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Produced
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( Ignature of Notary Public- State of Florida)
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(Signature of Notary Public- State o Florida
Commission No. 1 D� l eti (Seal)
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Commission No. 0 (Seal)
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