HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: Permit Number: oU� nljtj
cJ o I�lLPC h,
Building pp Permit Application
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
PRf?PdSED (ltil1PR01/EMEi�T=LOCAT1N 1,:5 , I
Address: 2700 N HIGHWAY Al A 1005
Property Tax ID#: 1 425-704-0071-000-7 Lot No.
Site Plan Name: Block No.
Project Name: David Coutu & Diane Ahrens
DETAILED DESCRIPTfON OF UVORK
x;
4
1 ACCORDION (BALCONY ARE)
3 ACCORDION (WINDOW)
New Electrical Meter Second Electrical Meter
CONSTRUCTI ?N 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: $ 10,780.00 Utilities: —Sewer _Septic Building Height: 120 ft.
01NNER/LESSEE: IJ
a
.. , _
CONTRACTOR
Name David Coutu & Diane Ahrens Name:Juan Felipe Sosa
Address:2700 N HIGHWAY Al A 1005 Company:Edwing's Unlimited Shutter Services LLC.
city: Fort Pierce State: EL. Address:PO Box 881085
Zip Code: 34949 Fax: City: Port St. Lucie State: EL.
Phone No.(401) 477-6241 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 License31373
Fvalueof construction is 2500 or more,a RECORDED Notice of Commencement is required.
of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCQNSTR`UCTIDN LIEN LAW INF�RNIATI�N
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 comm c' work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent fo ner Signature of Cop
o ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 57. Luce. COUNTY OF c\-e--
Sw'of n to(or affirmed) and subscribed before me of Sw (or affirmed)and subscribed before me of
t/ P or Physical Presence or Online Notarization Physical Presence or Online Notarization
this 2 day IIof r; 2021 by this 2c�z day of ter`,\ •202q by
'Nade. AkrenS CLIAI DgV;J COCitA
Name of person making statement. r / Name of person mark g statement.
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Iden ification Type of Identification
Produced • � • Pro c d
V0--..Cei —1 . Sm Tq
(Signature of Notary P (Si at e o o ary Publ'
BLANCA L SOSA .y P ANA MARCELA ALARCON
_°; Notary P licl�}}State of Florida a°`,g �o Not Publ+' -State of Florida
COmmIS510n No. = Corn �i�NgGG959255 Commission No. +� tr�t��n IL#GG135318
ofr�°:' My Comm.Expires May 29,2024 MyComm.ExpiresAug16,2021
Bonded throw h National Nota Assn. FOPS Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 6 20