HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTrletnucie
D
Date: 12021 Permit it ,�,'°�
s neL''s6�1Building Permit ApplirtmentPlanning and Development Services s`
Building and Code Regulation Division Commercial Residentia
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9505 POINCIANA CT FT. PIERCE, FL 34951
Property Tax ID#: 1334-502-0076-000-3 Lot No. 195
Site Plan Name: WHITFORD Block No.
Project Name: WHITFORD
DETAILED DESCRIPTION OF WORK:
INSTALL THIRTEEN (13)ACCORDION HURRICANE SHUTTERS
FIVE(5) NAUTILUS ROLL-UP SHUTTERS (HAND OPERATED)
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 _XShutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 16,048.56 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name FREDERICK WHITFORD Name: MIRIAM VAN VASSEL
Address:9505 POINCIANA CT Company:DVT HURRICANE SHUTTERS, INC.
City: FT, PIERCE State: , Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No.303 905 4238 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.
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.
Si na ure Owner/Lessee/ ontractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA (�J Lt
STATE OF FLORIDA �J'
COUNTY OF f" C j 2- COUNTY OF �f
ySwor to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization V Physical Presence r Online Notarization
this�day of A 2020 by this day of 202� by
i 4.rr--- Vil L. 25 14 —T4 s s-0- �
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Known `�OR Produced Identification
Type of Identification Type of Identification
Prod t`ed Produced
(Signature of Notary Public- to of F Si nature of Notary Public-S of Flor'
,,�i ��.v,�, �9`i n Sue Blume ( g v � � ?iVian Sue Blume
Commission No. -: • •• �r'= C01� PION#GG297846 Commission No. �� �A= CQMMQSION#GG297846
• EXPIRES:April 29, 2023 "' EXPIRES:April 29, 202
`` Bonded I hru Aaron Notaq,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.