HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June �, 2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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Residential X
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 5501 MCDONNELL DR. FT. PIERCE, FL 34951
Property Tax ID #: 1301-614-0161-000-8
Site Plan Name: DEBORAH REYNOLDS
Project Name: DEBORAH REYNOLDS
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JUN 0 8 2Q?1
St. Lucit, County
Permltting
Lot No.9&10
Block No. 163
DETAILED DESCRIPTION OF WORK: I
INSTALL TEN (10) ACCORDION HURRICANE SHUTTERS
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 X Shutters
Electric — Plumbing — Sprinklers — Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,796
Sq. Ft. of First Floor:
Windows/Doors — Pond
— Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameDEBORAH REYNOLDS
Name: MIRIAM VAN VASSEL
Address:5501 MCDONNELL DR.
Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: f= L
Zip Code: 34951 Fax:
Phone No. 772 216 5521
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail dvthurricaneshuttersinc@hotmail.com
State or County License24394
IT Value oT Construction Is Z5UU 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
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
Not Applicable
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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 attofjWy before commencing work or recordiDg your Notice of Commencement.
re pf Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID�?/
COUNTY OF '
Sworn to (or affirmed) and subscribed before me of
l/ Physical Presence or Online Notarization
this 7 day of ���' )1 J ) % 2`022�$/ by %
Name of person making statement.
Personally Known C�-' OR Produced Identification
Type of Identification
Produc
b,��'P,I Vivian Sue Blume
(Signature of Nota§vu SAer'� " "w`"' ""'
p� 9: April 29, 2023
Commission No. „ , "'I Q..;, � Bonde�hIgAaron Notary
'�ii
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF�Lc �' l
Swofn to (or affirmed) and subscribed before me of
vV Ph sical Presence or Online Notarization
this ?day of 116 r1,�. 2020 by
di k 1111- 1)Jif 7D5ALe i
Name of person making statement.
Personally Known Li OR Produced Identification
Type of Identification
Produced
V ian Sue Blume
ignature of Notarg S ' '
846
_ EXPIRES: April 29, 2023
Commission No. •``' Bonded(MlAaron Notary
n
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1301-614-0161-000-8
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available LAKEWOOD PARK -UNIT 12- BLK 163 LOTS 9 AND 10 (MAP 13/12S)
OR 1186-2915: 1264-88; 2474-666)
General description of improvements INSTALLATION OF HURRICANE SHUTTERS
Owner/lessee DEBORAH REYNOLDS
Address 5501 MCDONNELL DR. FT. PIERCE, FL 34951
Interest in property:
100%
Fee Simple Title holder (if other than owner)
Address
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Contractor DVT HURRICANE SHUTTERS, INC
Phone# 772-794-1581
Address 3100 N KINGS HWY, FORT PIERCE, FL 34951
Fax # 772-794-1590
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone #
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as p. ....,..
by Section 713.13 (a) 7., Florida Statues:
Name
Phone #
Address
Fax #
In addition to himself, owner designates
of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Owner/Lessee, or Owner's or Lessee's Authorized Ofricer/Director/Partner/Manager/ Signature
Lim
II Signat6rry's Title/Office
State of Florida, County of
Acknowledged before me this , day of 1 20 21, by Q�'v f " \ Q c10 �S
who i rsonaknown to me or who has produced as identifi lion.
:,,1111y
L,21u0-1P
Signature of Notary Type or Print Name of Notary (Seal)
,,�1�V��1/,� Vivian Sue Blume
Title: Notary Public Commission Number ;t�
COMMISSION # GG297846
'� ; EXPIRES
. April 29, 2023
Bonded Thru Aaron Notary