HomeMy WebLinkAboutBUILDING PERMIT APPLICATION S�IU.c P O
All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED 1
Date: 6Ad? Q`
Lo-2-/ Permit Number: 01 U/�
1 too
91r.- RECEIVED
O
`q � r: ° ° p.; . Building Permit Application. JUL_ ® 7 2021
Planning and Development Services St.Lucie County
Permitting
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4624553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Shutters
PROPOSED IMaPROVEMENT LOCATION :- -
Address: 3327 Orange.Ave Fort Pierce FL 34947
fr, Property Tax ID#- 2408-312-0004-000-4 Lot No.
Site Plan Name: Block No.
Project Name: St Lucie County Farm Bureau
a DETAILED DESCRIPTION OF WORK
Install new hurricane shutters on windows and doors ,P S- C IG
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:$ 8300.00 Utilities: —Sewer _Septic Building Height:
01NNER/LESSEE:
CONTRACTOR
NameSt Lucie County Farm Bureau Name:Kevin Firestone
Address:3327 Orange Ave Company:Firestone Construction Inc
City: Fort Pierce. State:_ Addr_ess:2183 S Brocksmith Rd
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No.772-465-0440 Zip Code: 34945 Fax:
E-Mail:ilean.cross@ffbic.com Phone No772-216-9379
Fill in fee simple Title Holder on next page(if different E-Mailfirestoneconst@gmail.com
from the Owner listed above) State or County License CGC1 510180
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�CONSTRUyCTt;®N�LIEN�LAW�ISNF,ORQMATION�� F ""z si t ` U, ' �_' ���. 's
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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 p to on the jobsite before the first inspection. If yo 'nte d to obtain financing, consult
with lend r or an tt r before commencin work or reco di o No ititof Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Tignature of Contract r License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ( !1-I �p
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Pre se ce or Online Notarization Physical Presence or Online Notarization
this / lay of 2020 by this o�'}day of f 2024 by
Name of person making statement:' Name of person making statement.
Personally Known OR Produced Identific_atio_n_ _ ally Known OR Produced Identification
Type of Identific n _ ft IdentificatioProdu
PU,, ELLS
, ' '% L AUGHN F`state Of Florida- rypu
ar° ti Y tate of��Fllorida-Notary Public ' Co Not bilin
(Signs lM: 0F��1-6arR,
i '' Igtur �i#b90roslorida"11' " Ootcbor 22, 2022 ctober 22, 2022 es
Cornms Ys° o - Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20