HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: c9 j 0+ 00�
Mr
ILUCEIS
O -
- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION
Address: 9650 S Ocean Dr Apt 506, Jensen Beach, FL 34957
PropertyTax ID#: 4502-610-0046-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Kenneth & Joan Parvin
IbETAILED DESCRIPTION OF WORK:
1 accordion shutter at the balcony area
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
- _Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 8,652.00 Utilities: _Sewer _Septic Building Height: 160 ft
-OWNER/LESSEE: CONTRACTOR:
Name Kenneth& Joan Parvin Name:Edwing Sosa
Address:9650 S Ocean Dr Apt 506 Company:Edwing's Unlimited Shutter Services LLC.
City: Jensen Beach state: FL. Address:PO Box 881085
Zip Code: 34957 Fax: City: Port St. Lucie State:FL.
Phone No. (772)446-4972 Zip Code: 34988-1085 Fax: (772) 905-9431
E-Mail:ormeauboy@aol.com Phone No(772) 370-0766
Fill in fee simple,Title Holder on next page(if different E-Mailed@edsunlimitedservic'es.com
from the Owner listed above) State or County License 28457
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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE m SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Nae: 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.
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,swimrn ,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER fail re to Record a Notice of Commencement may result in paying twice for
improvements to yro rty. A Notice of Commencement must be recorded in the public records of St.
Lucie County and p the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or-an a before commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature f Contra or/License Holder
STATE OF FLORIDA STATE OF I DA
COUNTY OF S Lt,6t e- COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization `f�ysical Presence or Online Notarization
this 19 day of M wr '� ,2020 by this `5>\day of 2024-by
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Name of person making statement. Name of person makin tement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type oilldentific tion
Produced 'b.L. c Pro uc
61,16%C4 q 0 koM
(Signature of Notary Pu (# a e of tary Pu e,,of F100RCELAALARCON
BLANCALSOSA c Notary Public-State of Florida
Commission No. '_�: Nota PQ���h c State of Florida Commission NO. `•' Cofi�trilGG135318
e; CorifiSSion g GG 959255 oar My Co m.Exp res Aug 16,2021
oFrti°e' My Comm.Expires May 29,2024 L��F,d+.•'
Bonded through tiatlanal Notaryhssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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