HomeMy WebLinkAboutBuilding Permit Application 'All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
✓, 'Date: ' �' �1 Permit Number:
MUM OPI
RECEIVED
O APR ® 9 1011
Building Permit Application
fl-ermitting Department
Planning and Development Services St. Lucie Count}f
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (7/72)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:SHUTTERS
PROPQSED I,IVIPR°OVEME'NT LOCATEON t
Address: 5713 EAGLE DR
Property Tax ID#: 1312-500-0076-000-9 Lot No.75
Site Plan Name: Block No.
Project Name:
DETAILED'DESCRIPTION :OFINORK
of
INSTALL 3 COLONIAL SHUTTERS AND 1 ACCORDION SHUTTER
New Electrical Meter Second Electrical Meter
C+rY`NSTRUCTION{I NFOR;IVIATIO:N` +h of
n4 F..i ei+". ?: rr "�Ir •.t. s r Pay ,,, -t .
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: $ 4,586.00 Utilities: —Sewer —Septic Building Height:
'CO RA
Namey.- B17, KINNETT Name:THOMAS LpPEASE
Address:5713'EAGLE DR Company:FLORIDA SHUTTERS INC
City: FORT PIERCE State:_ Address:1055 COMERCE AVE
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No.678-756-7734 Zip Code: 32960 Fax: 772-567-3674
E-Mail:skinnett9945@gmail.com Phone N0772-569-2200
Fill in fee simple Title Holder on next page(if different E-Maildaniela@floridashuttersinc.com
from the Owner listed above) State or County License CBC 015453
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.
I
SU,PFLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
a
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
withlienderora.ri attoryney hefore commencing work or recording our Notice of Commencement.
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Signature of Owne /Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORJ A
COUNTY OF ��d� �i�)-e— COUNTY OF UO(n PA�')a
Sworn (or affirmed)and subscribed before me of Swot'fo(or affirmed)and subscribed before me of
Physical Presence or Online Notarization V Physical Pres nce or Online Notarization
this day of 0 2020 by this `day of 202� by
V
1._� i�ze M-e 4�: ::) 1,
game of person making statement. Name of person making
1state ent.
Personally Known OR Produced Identification Personally Known , OR Produced Identification
Type of(dent' tion Type of Identification
Produced Produc d�
lgnature of (Signature of Notary Public-State of Florida)
VaY� DEBORAH EAIERICK
':F• '- Notary Public-Statgg� Commission No.
Qrda ��" ^ (S@&7IaIA TREJO
Commission N = sionHGG'952084 .. : , - A,,
Vic': Notary Public-StateofFlorida
' My Comm.Expires Mar 20,2024 = ; ` •= Commission a GG to37zt
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:' ires ay10,2021
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