HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/6/2021
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O R I D A
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR:Hurricane Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 5210 Paleo Pines Circle
Property Tax ID #: 1312-801-0089-000-7
Site Plan Name: _
Project Name: Beck
I DETAILED DESCRIPTION OF WORK:
Installation of (5) Bahama shutters & (10) Accordion 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 _X_ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 12,950.00
_ Generator
Lot No. 286
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Angie Beck
Name: Donald Justin Young
Address: 5210 Paleo Pines Circle
Company: Extreme Shutter Systems
City: Fort Pierce State: _
Address: P.O Box 1216
Zip Code: 34951 Fax:
City: Fellsmere State: FL
Phone No.
Zip Code: 32948 Fax: 772-571-5576
E-Mail:
Phone N0772-571-5574
Fill in fee simple Title Holder on next page (if different
E-MailAaron.extreme@outlook.com
from the Owner listed above)
State or County License32234
If value of construction Is Z500 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:
GNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
e:
F
Name:
ress:
Address:
State:
City: State:
p: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
_J
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 y2ur "tice of Commencement.
Signature of ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Indian River
swgrn to (or affirmed) and subscribed before me of
Physical Presen a or Online Notarization
this 4!A!- day of 2020 by
Holder
STATE OF FLORIDA
COUNTY OF Indian rimer
Sn to (or affirmed) and subscribed before me of
7Physical Presence or Online Notarization
this _Q�: day of e A r— , 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification xxx Personally Known xxx OR Produced Identification
Type of Identification Type of Identification
Prodyfr}de // Produce
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Commission No. HH069360 4 ': My0=tH069350 Commission NO. HHaseaso a 1?/222024
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED
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