HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: June 2021 Permit Number: (� �`�
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`' L c t` L L, k Building Permit Application SL Umie coL"ty
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: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION: 1
Address: 25 SOVEREIGN WAY FT. PIERCE, FL 34949
Property Tax ID #: 1414-702-0017-000-1 Lot No. G
Site Plan Name: KAREN HUGHES Block No. 22
Project Name: KAREN HUGHES
DETAILED DESCRIPTION OF WORK:
INSTALL SEVEN (7) BAHAMA 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 Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,449.35 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KAREN HUGHES Name: MIRIAM VAN VASSEL
Address: 25 SOVEREIGN WAY Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: �, Address:3100 N. KINGS HIGHWAY
Zip Code: 34949 Fax: City: FT. PIERCE State: FL
Phone No. 772 216 5521 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No772-794-1581
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 lender or anattorney before commencing work or recording our Notice of Commencement.
fl" 11TIATY)
Siezitur of Owner/ L ssee/Contractor as Agent for Owner
Si at re o ntract License Holder
STATE OF FLORIDA /
COUNTY � ��{C�
STATE OF FLORIDA Y/ la,U
OF •
COUNTY OF i
Swornto (or affirmed) and subscribed before me of
or
Swto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 202# by
this day of 1202,0 by
li I -( 1"'(1 1 q yyt- /)(I X 'TZ 5 _e /
—
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
Produced
Produced
Vivian Sue Blume
Vivian Sue Blume
,�_ _ '� COM
(Signature of Notar_4 , e MWISSION # GG297846
(ignature of rSt@pfpt�or
2023
Commission No. ��'••-� EXPIR�PPa FII 29, 2023
hi Bonded ThN (►)Adparh NOtary
Commission No. ""
r;�r� BondedTh Aaron Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1414-702-0017-000-1
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
QUEENS COVE -UNIT 2- BLK 22 LOT G(OR 1701-1700)
General description of improvements INSTALLATION OF HURRICANE SHUTTERS
Owner/lessee KAREN HUGHES
Address 25 SOVEREIGN WAY FT. PI-'ZCE, FL 34949
Interest in property: 100%
Fee Simple Title holder (if other than owner)
Address
Contractor DVT HURRICANE SHUTTERS, INC
Address 3100 N KINGS HWY, FORT PIERCE, FL 34951
Surety
Address
Amount of Bond
Lender
Address
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE # 4875579 06/08/2021 12:11:49 PM
OR BOOK 4625 PAGE 1372 - 1372 Doc Type: NC
RECORDING: $10.00
Phone # 772-794-1581
Fax # 772-794-1590
Phone #
Fax #
Phone #
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name Phone #
Address
In addition to himself, owner designates
Phone #
Fax #
Fax #
of
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 ATTO EY BEFORE COM NC1NG /WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT. / //
or Owner's or Lessee's A ho zed Officer/Director/Partner/Manager/ Signature
In C -) �,�
Signatory's Title/Off ee
State of Florida, County of ,) ]`,Z// ( . e—,
Acknowledged before me this ��.5day of Ag y 20 ZZ, by �/' e yf u f S
who is persona yk ewn to me or who has produced as identification.
b kec
Signature of Notary Type or Print Name of Notary (Seal)
Vivian 5i:e
Title: Notary Public Commission Number � ,�'% ��
� VlMIMN.J an Sue Blume
E #RCOWIS QN#GG297846
dEiStPI RES,,-April 29, 2023
Bonded Thru Aaron Notary