HomeMy WebLinkAboutBuilding Permit Application ' J
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 114,2021 Permit Number:°®����5�3
91To(L n nCEF RECEIVED
_ o L�l_'1 -o` APR 19 7.021
.wMD -- Building Permit Application
PQrmitbng Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
-PROPOSED)M PROVEM ENT LOCATION:
Address: 14380 AZUCENA CT. FT. PIERCE, FL 34951
Property Tax ID#: 1306-501-0557-000-9 Lot No.2
Site Plan Name: SEIDENSTICKER Block No. 34
Project Name: SEIDENSTICKER
DETAI LED-DESCRIPTION.OF WORK:
INSTALL FIVE(5)ACCORDION HURRICANE 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 _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,623.18 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name NINA STEIDENSTICKER Name: MIRIAM VAN VASSEL
Address: 14380 AZUCENA CT. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:_)�k, Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No.714 931 2884 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.
~ �G
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF�J/ �C i� COUNTY OFORIDA q.
COUNTY OF c�t, h
Sw 9rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization ✓Physical Presence or Online Notarization
this day of p�/, / 202� by this��day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known `LI---- OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produc Produced
�'T&1A?", Vivian Sue Blume Vivian Sue Blume
.� ,�.
(Signature of No P is at d ( nature of Notitp -, on
9?f�1M ��ril 29, 2023 PIRES:April 29, 2023
' Bonded ron Note Bonded Tif )an Notary
Commission No. �!aun��` Notary Commission No. i „p��`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW -REVIEW
DATE
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