HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 19,2b21 Permit Number.
RECETV5bPEA_ ;rr ° Building Permit Applicatic n
APB 2 2021
Planning and Development Services
Building and Code Regulation Division Commercial Re IreWiiBIC6unty, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: ,HURRICANE SHUTTERS
PROPOSED tMPROVEM,ENT LOCATION:
Address: 5611 WINTERGARDEN PARKWAY FT. PIERCE, FL 34951
Property Tax ID#: 1301-613-0336-000-3 Lot No.11
Site Plan Name: STEVEN SCOTT CASSENS Block No. 151
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL ALUMINUM STORM PANELS ON ELEVEN (11) OPENINGS
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 ZC Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,611.02 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:.
Name STEVEN SCOTT CASSENS Name: MIRIAM VAN VASSEL
Address:5611 WINTERGARDEN PARKWAY Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:Fl— Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State-FL
Phone No.772 216 4960 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No 772-794-1581
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,AFFI DVIT: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 recordin � our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner §Jnffture Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF GL e�C'� COUNTY OF Sj Q,
Sworn to(or affirmed)and subscribed before me of Svgor to(or affirmed)and subscribed before me of
tl P ysical.Presen or Online Notarization !/ P ysical Presenc or Online Notarization
this day of q -202A by this day of ' 2020 by
A'p i'a YA- Yin 'P5 60 a '.
NQ't —fa*6,5-e
Name of person making statement. Name of person making statement.
Personally Known /OR Produced Identification Personally Known ✓OR Produced Identification
Type of Identification Type of Identification
Prod I Produced
L�l ----- �avian Sue Blume
rli�-k . -an Sue BlUme
(Signature of Notary V (Signature of Notary_ li '�o I SWN#GG297846
� EXPIRES'April 29, 2023 S
Commission No. '�. •�' Bonded Aaron Notary Commission No. % ''•.....•' EXPIRf&Aprjl 29,2023
"����"• „���� Bonded Thru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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