HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. Ll1CIE
COIL N' Y
F •L O R- 1 p p
Permit Number 0 6 - 01 0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR:HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 110 Devonshire Dr., Fort Pierce, FL 34946
Property Tax ID #: 1432-805-0064-000-7 Lot No. 64
Site Plan Name: Block No.
Project Name: Brenda K Robinson
DETAILED DESCRIPTION OF WORK:
13 accordion 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
Total Sq. Ft of Construction:
Cost of Construction: $ 4,525.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height: 15ft.
. OWNERAESSEE:
CONTRACTOR:
Name Brenda K Robinson
Name: Edwing Sosa
Address:110 Devonshire Dr
Company:Edwing's Unlimited Shutter Services LLC.
City: Fort Pierce State: _
Address: PO Box 881085
Zip Code: 34946 Fax:
City: Port St. Lucie state: FL.
Phone No. (772) 940-3894
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 License 28457
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: 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 grantinga permitwill.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 attornev before commencing work or recording vour Notice of Commencement.
Signature of Cony actor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA,
St L 6,at✓
STATE OF FLORIDA
COUNTY OF
COUNTY OF S�
Swop to (or affirmed) and subscribed before me of
Swo�to (or affirmed) and subscribed before me of
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Physical Presence or Online Notarization
this 11 day of M oLy , 2020 by
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Name of person making statement.
Name of person maki statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ide tification
Type of dentificati n
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Commission No. =•:� (Seal �ion4GG135318
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Bonded through National Notary Assn.
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