HomeMy WebLinkAboutBuilding Permit Application All APPLICAB4E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: fir, ) ,2021 Permit Number: ■�
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o. APR 02 2021
Building Permit Applicatio Permitting Departmen
Planning and Development Services St. Cie County, 1st,
Building and Code Regulation Division Commercial Re
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 114 QUEEN BESS CT. HUTCHINSON ISLAND, FL 34949
Property Tax ID#: 1414-702-0023-000-6 Lot No.E
Site Plan Name: BACCI Block No. 23
Project Name: BACCI
DETAILED DESCRIPTION 'OF WORK: .
INSTALL SIX(6) ACCORDION HURRICANE SHUTTERS
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 Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3,245.07 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GEOFFREY BACCI Name: MIRIAM VAN VASSEL
Address:114 QUEEN BESS CT. Company:DVT HURRICANE SHUTTERS, INC.
City: HUTCHINSON ISLAND Stater Address:3100 N. KINGS HIGHWAY
Zip Code: 34949 Fax: City: FT. PIERCE State:FL
Phone No.630 726 2176 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.
t
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 attorney before commencing work or recording our Notice of Commencement.
Signature of wner/Lessee/Contractor as Agent for Owner Signature o ontractor/License Holder
STATE OF FLORID 4 STATE OF FLORIDA
COUNTY OF �� uC r 2 COUNTY OF
Sw9rn to(or affirmed)and subscribed before me of Sworf to(or affirmed)and subscribed before me of
V Ph sical Presenc or Online Notarization ti Physical Presen a or Online Notarization
this�day of a 1 2020 by this�day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prod Produced
(Signature of Notary Publ' i to of Flotidp) (Signature of Notar Vrvra ue Blume y, 1 -of pyid��ION G+;297&16
, i �j n S =� �_
Commission No. ` yam'"= COW98ION#GG297846 Commission No. - EXPIR eA[bril 29, 2023
EXPIRES:April 29 2
,,�;;;���.�� Bonded Thru Aaron Notary
021
,Q11l1,,%% * Bonded TIM Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20