HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May , 2021 Permit Number:
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Building Permit Application
Permitting Departrnent
Planning and Development Services t. Lucie county
Building and Code Regulation Division Commercial 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: 5815 SEAGRAPE DR. FT. PIERCE, FL 34982
Property Tax ID#: 3402-609-0036-000-3 Lot No.43
Site Plan Name: FLORES Block No. 21
Project Name: FLORES
DETAILED DESCRIPTION OF WORK:
INSTALL ALUMINUM PANELS---TWO (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 Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 659.42 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameJESUS FLORES Name: MIRIAM VAN VASSEL
Address:5815 SEAGRAPE DR Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:a Address:3100 N. KINGS HIGHWAY
Zip Code: 34982 Fax: City: FT. PIERCE State:FL
Phone No.863 634 5834 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone N0772-794-1581
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 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 le der or an att-Qrney before commencing work or recording our Notice of Commencement.
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Signature Yf wner/Lessee/Contractor as Agent for Owner Signature Contractor/Li nse Holder
STATE OF FLORIDA STATE OF FLORIDA (�
COUNTY OF 1�6, ,�G!C! �� COUNTY OF `)Y.
Sworryto(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
./Physical Presence or Online Notarization cal Presence or Online Notarization
this 70day of g:✓ 12020 by ay of 2020 by
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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
Produc Produced
� V V ian Sue Blume ,` w 1P"--- v,ylan Sue Blume
Signature of NotarUb S (ON#GG297846 Signature of Notary P& ic- team Flo i 9T848
EXPlpril 29, 2023 `�� EX d4}u Aaron Notary
Commission No. �`�� Bond Aaron Notary Commission No. ''a,�f i�a��` BonPIRES:April tart'
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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