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Building Permit Application
All APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '/el ` 202- Permit Number: RECEIVED APR 2 0 2021 Building Permit Application Permittkng Department Planning and Development Services St. Lucie County Building and Code Regulation Division Commercial Residential K.CK 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION, FOR: INSTALLATION OF HURRICANE IMPACT PANELS (19) PROPOSED IMPROVEMENT LOCATION: Address: 3237 MEMORY LANE FT PIERCE FL 34981 Property Tax ID#: 24305020022000/8 Lot No. Z 2— Site Plan Name: Block No. Project Name: �1�/l� ©A�S �S'c�er�-� DETAILED DESCRIPPTIO.N OF WORK:. INSTALLATION OF(19)HURRICANE IMPACT RATED STORM PANELS 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 _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction. 551.2SF Sq. Ft. of First Floor: Cost of Construction:$ 5681.32 Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Amy Maloveczky Name:GREG ENSLING Address:3237 MEMORY LANE Company:MAXIMUM SHUTTER SYSTEMS INC City: FT PIERCE State:_ Address:210 OLD DIXIE HWY Zip Code: 34981 Fax: City: VERO BEACH State:FL Phone No.(772)291-8047 Zip Code: 32962 Fax: 954-839-0037 E-Mail:trigirl1974@gmail.com Phone No 954-839-0037 Fill in fee simple Title Holder on next page(if different E-Mail greg@maximumshutters.com from the Owner listed above) State or County License FLORIDA 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. z > �p . MNTAL CNStt�CT�dN LIENS L�11Ns1NCJRMAtIQN :. 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: AlNotApplicable 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 attorneybefore commencing.work or recording . ur NotM of Commencement. ignature cf,!!Jr/Lessee/Contractor as e t for Owner =FLORIDA Contractor/License Alder STATE OF FLORID. _ n COUNTY OF ,1cgNt ( ,c�wr► COUNTY OF ���gq +uu,r � �JI Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Y- Physical Presence or ' Online Notarization -Physical Pre,s,gnce or Online Notarization this day of Y�I►gJaC. r2) .2A-21�by ' this�day of+"'l•irta6* =o-:7-1 ZRC by Name of person making statement. V Name of person making statement. Personally Known tY,_—OR Produced Identification__ Personally Known X_ OR Produced Identification. Type of Identification Type of Identification P d i A Producpd N J PLOURDE (Signa of Notar Uff I' ud b rBlBdd114State of Florida (Signatur of No et�t#rfi Iy � # HH 10312' n, Commission# HH 103121 %'� op� MY Commission Expires oFna�� MY Corr� io Expires � ��� \\ Mar n2025 Ex Commission No. �����\ MaF � pas Commission No. 2025 REVIEWS FRONT ZONING SUPERVISOR -PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED j ev. — Doc ID: 158a15d3f78aa2ec236c4047df8c7cf3b7fa55f1