HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2f,6 S 020 3
�Ir ILUC E REC€1VE�+
MAY 0 7 1011
Building Permit Application
P�rmlktirg Departmetit
Planning and Development Services SL Lucie Cousin,+
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
PROPOSED IMPROVEMENT LOCATION:
-Address:-27-00-N HIGHWAY--A1-A-906 — -- - -- - -- - --- -- - - -
Property Tax ID#: 1425-704-0064-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Cassandra Ann Major
DETAILED DESCRIPTION OF WORK;'
1 ACCORDION (BALCONY ARE)
1 ACCORDION (WINDOW)
New Electrical Meter Second Electrical Meter
zoNSTRUCTI'ON INFORMATION:
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: $ 6,510.00 Utilities: _Sewer. _Septic Building Height: 120 ft.
OWNERAESSEE: CONTRACTOR:
NameCassandra Ann Major&Jennifer Susan Fischer Name:Edwing Sosa
Address:2700 N HIGHWAY A1A 906 Company:Edwing's Unlimited Shutter Services LLC.
city: Fort Pierce State: FL. Address:PO Box 881085
Zip Code: 34949 Fax: city: Port St. Lucie State: FL.
Phone No. ($09-) Q3'03 63- Zip Code: 34988-1085 Fax: (772) 905-9431
E-Mail:majorinvt@aol.com Phone No(772) 370-0766
Fill in fee simple Title Holder on next page(if different E-Mail ed@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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.
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Signature of Owner/Lessee/Contractor Agent for Owner Signatur6'of Co I
tractor/License Holder
STATE OF FLORID-At , STATE OF FLORIDA
COUNTY OF J 1 �- U COUNTY OF
Swof n to(or affirmed)and subscribed before me of Swor (or affirmed)and subscribed before me of
V Physical Presence or Online Notarization Physical Presence or Online Notarization
this �� day of
r i�—fin 2020 by this 2�day of � =�\ ,2020 by
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Name of person making statement. J
/ Name of person`ma 'ng statement.
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Type of I cle,ntification
Produced Prod c�k_
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(Signature of Notary P •• e or F on @A)JCAlSOSA (Si atur� o N tary Pub -
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Notary Public State of Flo]24.
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Commission No. _ Q Cott�IkGG95925 �� Notary�Pu�blic-State of Florida
Commission No. + CoAuSad�#GG135318
My Com x Ires May 29, ay �;' My Comm.Expires Aug 16,2021
Bonded through National Notary
•It2l, Bonded through National NotaryAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.