HomeMy WebLinkAboutBUILDING PERMIT APP-NOCB
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
g4 L c_M
Building Permit Application
Planning and Development Services
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: Shutters w/Electric
PROPOSED IMPROVEMENT LOCATION:
Address: 7260 Reserve Creek Dr Port St Lucie, FL 34986
Property Tax ID#: 3322-601-0015-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Kay Rodriguez
DETAILED DESCRIPTION OF WORK:
Installation of hurricane protection products on (2) 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 XShutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12,742.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
.CONTRACTOR:
Name Kay Rodriguez
Name: Noreen Rayner
Address: 7260 Reserve Creek Dr
Company: Storm Smart of Southeast FL
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (772) 486-2126
Address: 4047 Okeechobee Blvd Suite 106
City: West Palm Beach State: FL
Zip Code: 33409 Fax: (844) 330-8277
Phone No (561) 229-0048
E-Mail: 2kayrod@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permitting@stormsmartse.com
State or County License CRC1332755
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:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
XNot Applicable
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 Counttyy makes no representation that is granting a permit will authorize the Vermit holder to build the subject structure
which is in con Fl ict with any applicable Home Owners Association rules, bylaws or antl 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 O er/ Lessee/ ntr. or as Agentfor Owner
Signature of Cont or/Lice
a Holder
STATE OF FLORIDA
STATE OF FLORIDA.
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Swo/n to (or affirmed) and subscribed before me of
Swgrn to (or affirmed) and
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J Physical Presence or
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DATE
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ev. 576720
FILE M 4853946 OR BOOK 4598 PAGE 1477, Recorded 04/27/2021 10:07:59 AM
PERMITx
TAX FOLIO NUMBER 322-601-0015-000-I
NOTICE OF COMMENCEMENT
STATE OF FL
COUNTY OF St Lucie
THE UNDERSIGNED HEREBY GIVES NOTICE THAT IMPROVEMENT WILL BE MADE TO CERTAIN REAL PROPERTY, AND SJ
ACCORDANCE WITH CHAPTER 713, FLORIDA STATUES, THE FOLLOWING INFORMATION IS PROVIDED IN THIS NOTICE OF
COMMENCEMENT.
1. DESCRIPTION OF PROPERTY: ILEOALDESORmrpNOFTHEPROPEATYANDMEEFADDRESSSAVAlftLEl.:
2. GENERAL DESCRIPTION OF IMPROVEMENT: 7260 Resme d Creek Dr Pon St muse, vFL Kqmb
Installation of Hurricane Protection
3. OWNER INFORMATION: A. NAME: MY RODRIDu¢
R.ADDRESS: r RESERVE CREEK OR PORTST LUCIE FL 3CISS O INTEREST IN PROPERTY: OwmeT
D. NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER):
A CONTRACTOR INFORMATION: (NAME.ADDRESS&PHONENC)
_Storm Smart Building Systems 61521dievnld St Fort Myers FL 33966 (S77) 212-5453
5. SURETY. (NAME,ADDRESS,PHONENO&BONDAMOUNT)
6. LENDER INFORMATION: (NAME, ADDRESSa PHONE NO)
7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS
MAY BE SERVED AS PROVIDED BY SECTION 713.13 (1)(A) 7., FLORIDA STATUTES:
A. NAME, ADDRESS & PHONE NO:
S. IN ADDITION TO HIMSELFIHERSELF, OWNER DESIGNATES THE FOLLOWING TO REVEIVE A COPY OF THE LIENORS
NOTICE AS PROVIDED IN SECTION 713.13 (1)(B), FLORIDA STATUES: (NAME, ADDRESS & PHONE NO)
9. EXPIRATION DATE OF NOTICE OF COMMENCEMENT (THE EXPIRATION DATE IS ONE YEAR FROM THE DATE OF
RECORDING UNLESS A DIFFERENT DATE IS SPECIFIED)
RECORDING YOUR NOTICE OF COMMENCEMENT
UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE
TO THE BESTOF YK GWLEDGE AND BELEIF(SECTION 92.525, FLORIDA STATUTES).
KAv Ra)Ai&v'Ay
SIGNATURE OF WNER OR LESSE OR, PRINTED N E
OWNER'S OR L EE'S AUTHORIZED AGENT
Owner
COUNTY OF:
SWORN TO AND SUBCR�IBBEEW�DJI�BEFORE ME THIS � DAYOF� 20RL.BY r8[�U e.7�
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WHO EY1Tc.�_gE OR HAS PRODUCED AS IDENTI ICATION
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