HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5 a\ Permit Number:
11. C�
aBuilding Permit Application
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Planning and Development Services
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
PROPOSE® t�PROVENtENT LC�rCATIO�I ,. �; =
Address: 2700 N Highway A1A#408, Pori: Pierce, FL 34949
Property Tax ID#: 1425-704-0026-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Richard Meihsner
� DETAILED DESCRIPTjON OF 1NORK ,:~
2 accordion shutters.
New Electrical Meter Second Electrical Meter
CONSTRUCTiC►N INEORMJATION ~ _. � -
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
Totai Sq. Ft of Construction: Sq.Ft.of Ffrst Ftoor:
Cost of Construction:$ 3063.00 Utilities: —Sewer _Septic Building Height: 120 ft.
ov� l�ER{ EssE r cONRACTOR y z
NameRichard& Nancy Meftner Name:EdMng Sasa
Address:2700 N Highway A1A#408 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.(772) 216-2865 zip Code: 34988-1085 Fax: (772) 905-9431
E-Mail: Phone No(772)370-0766
Fill in fee simple Title Holder on next page(if different E-Mailed@edsunlimitedservices.com
from the Owner listed above) State or County Hcense28457
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 Cf)NSTR4JCTI0N LIEN LAW,INORMATIQI
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Prone 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.
Jn-Dnsidara6an of the granting of this r_-gVested perrni,)da_-reby agree that)1%0),f n!7)a r&SP8CK PerfarM the wank
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,wails,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.
02,
Signature of Owner Lessee/Contractor as Agent for Owner Signature of Co tractor/Llicense Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF �>n a COUNTY OF
Swor,n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization �hysical Presence or Online Notarization
thiss�10 day of PI ci 2020 by this '�Zday of C`�c�.� ,2020 by
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Name of person making statement. Name of person makin statement.
Personally Known OR Produced Identification V/ Personally Known OR Produced Identification *L��
Type of Identification Type of I ent,fica-on
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(Signature of Notary Public turd LANCA L SOSA (Sign re f Not ry - orid� A MARCELA ALARCON
_. .:� o ary Public-State of Florida
Notary Public-State of Florida '•' •a Com fission#GG 135318
Commission No. ' (�e®i)sion a GG 959255 =;�'of 0B p A
ommission NO. or Expires 16,2021
My Comm.Expires May 29,2024 ,.... SordedthroughNationalNotaryAssn.
Bonded through National Notary Assn.
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