HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: June J li 2021 Permit Number: "O v
RECIEi1lED
9` CUGr.,'
JUN 14"1021
i? It @ ff,� 0 c n =-=- Building Permit Application
p@Fri5ltting Department
Planning and Development Services 8t,Lucle 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: 1814 N. 13th ST. FT. PIERCE, FL 34950
Property Tax ID#: 2404-112-0003-000-1 Lot No.
Site Plan Name: AGRICULTURAL AND LABOR DEPARTMENT Block No.
Project Name: AGRICULTURAL AND LABOR DEPARTMENT
DETAILED DESCRIPTION OF WORK:
INSTALL FIFTEEN (15)ACCORDIAN HURRICANE SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—checkMenerator
_Mechanical _Gas Tank —Gas Piping —Windows/Doors _Pond
Electric —Plumbing -Sprinklers — —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,550.89 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameAGRICULTURAL AND LABOR DEPARTMENT Name: MIRIAM VAN VASSEL
Address:1814 N. 13th ST. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:In/ Address:3100 N. KINGS HIGHWAY
Zip Code: 34950 Fax: City: FT. PIERCE State:FL
Phone No. 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 lender or an attorney before commencing work or recording our Notice of Commencement.
1.r ID .1
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co tractor/License Holder
STATE OF FLORIDA 1 STATE OF FLORIDA YV
COUNTYOF (� . /6(2 'e— COUNTYOF , Z?Ci4`Q
Sw^orry to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Y Physical Presence or Online Notarization �/Physical Presence or Online Notarization
this day of ,202J6 by this day of 2020 b
ZLLU 21 �L-"
Name of person making sta ment. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prod wed Produced
Avian Sue Blume
ue Blume
(Signature of Notar bl t o on (Signature of Notes P c-• i at sl@N#GG297846
' EXPIR :April 29, 2023 EXPIRES: tril 29, 2023
Commission No. '��,-OFA�`` Bondod�lu Aaron Notary Commission No. Q /Q—Bonded TAion Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20