HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:\�S1o1� Permit Number:
RECEIVED
lam ~ APR 15 2021
Building Permit Application 1,rmitthng Department
Planning and Development Services 5,:. Lucie CWmty
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
.PR6PQSED iMPRQI/EME'NT`LuCATiON �
Address: 2700 N. Hyw Al A #504, Fort Pierce, FL. 34949
Property Tax ID#: 1425-704-0030-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Andrew & Dana J Payson
DETAILED IoN.DES' OF WORi<
CRIPT
1 ACCORDION (BALCONY ARE)
3 ACCORDION (WINDOW)
New Electrical Meter Second Electrical Meter
9 4
CONSTRUCTION fNFQR{VIATON
., �
k.-6, 9
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: $ 10,921.00 Utilities: _Sewer _Septic Building Height: 120 ft.
C►INNLR%LESS✓ coNTRAC`C'
NameAndrew & Dana J Payson Name:Edwing Sosa
Address:2700 N. Hyw Al A #504 Company:Edwing's Unlimited Shutter Services LLC.
City: Fort Pierce State:EL. Address:PO Box 881085
Zip Code: 34949 Fax: City: Port St. Lucie State:FL.
Phone No.(954) 805-7480 zip Code: 34988-1085 Fax: (772) 905-9431
E-Mail: Phone No(772) 370-0766
Fill in fee simple Title Holder on next page(if different E-Mailed@edsunlimitedservices.com
from the Owner listed above) State or County License28457
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.
SIJPPLEiUIENTAL CON5TRUCTION LIEN LAUD INfJRMATiON
,.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 Owner/Lessee'/Cogyactor as Agent for Owner Signature of Contra cto /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St• L LA c i e COUNTY OF !a�� - C_\.e._
Sworn to(or affirmed)and subscribed before me of Sworn (or affirmed)and subscribed before me of
1�Physical Presence or Online Notarization Physical Presence or Online Notarization
this 6 day of A p 202 f by this day of 202% by
rcy} PCy S'oh '
Name of person making statement. Name of person making-'statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ide ifica ion Type of Id ntificat'on
Produced �, �• Prod ed
4
zi f
(Signature of Notary u orl (Si t` o � a Public-StE
f A CA L SOSA ANA MARCELA ALARCON
Notary Public-State of Florida . Nat ry Public-State of Florida
Commission No. i `= Com OGG959255
l� Commission No. �$ea�mmissionaGG135318
., rM1.• My Comm.Expires May 29,2024My Comm.Expires Aug 16,2021
.Banded through National Notary Ann. Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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