HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �o' �� '�--1 Permit Number:
jj �/(� (j RECEIVED
0 JUN 17 2021
Building Permit Application St,Lucle County
Planning and Development services Permitting
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:H U RRI CANE SHUTTERS
�tt .: aaR�tt7 �a G� c[ , ~ � 50 Address: 9650 S OCEAN DR 1904, JENSEN BEACH, FL. 34957
Property Tax ID#: 4502-610-0174-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Anita Brennan��
1 ACCORDION (BALCONY ARE)
2 ACCORDION (WINDOW)
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping x Shutters —Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5,611.00 Utilities: —Sewer _Septic Building Height: 160 ft
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NameAnita Brennan Name:Edwing Sosa
Address:9650 S Ocean DR Apt 1904 Company:Edwing's Unlimited Shutter Services LLC.
city. Jensen Beach State: FL. Address:PO Box 881085
Zip Code: 34957 Fax: City: Port St. Lucie State:FL.
Phone No.(520) 250-8511 zip Code: 34988-1085 Fax: (772) 905-9431
E-Mail: �r-iMtx-��oPc i�ta(� `t a�^00, C'Ok , 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.
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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 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.
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Signature of owner/Lessee/Contractor as Agent for Owner Signature of Cot
o tractor/License Holder
STATE OF FLOR DA STATE OF FLORID
COUNTY OF L In C. COUNTY OF
Swor to(or affirmed)and subscribed before me of Swor (or affirmed)and subscribed before me of
Physical Presenceor Online Notarization Physical Presence or Online Notarization
this )8 day of M a 2021 by this_\5ti day of q'z\o`a. 20211) by
1nitc{ f enng11 -
Name of person making statement. I / Name of person maki tatement.
Personally Known OR Produced Identification Personally Known OR Produced Identificatiorl-
Type of Identification Type o I entifi ion
Produced L Pro du e If
Q0.,0.a V4dfQ
(Signature of Notary Pub ry NCALSOSA (Si ' ure f o Public- o, l a ANA MARCELA ALARCON
tM Solos`b'lb'S`F. Notary Public-State of Florida ?: Notary Public-StateofFlo6dCommission No. Q A CQt5mWonNGG959255 Commission No. `•` sea rmissio.#GG135318
My Comm.Expires May 29,2024 y My omm.Ex0resAug 16,20
Bonded through National Notary Assn. '�OFW Bonded itucpNadonalNotaryAs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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