HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ju,Jy q , 2021 Permit Number:
RECEIVED
co L Luy
L L L, L L 121 `z Building Permit Application JUL 0 9 2021
Planning and Development Services At county
Building and Code Regulation Division Commercial Residential
X"tfing
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 6156 SANTA MARGARITO DR. FT. PIERCE, FL 34951
Property Tax ID #: 1312-501-0027-000-4 Lot No.92
Site Plan Name: MALINOWSKI Block No.
Project Name: MALINOWSKI
DETAILED DESCRIPTION OF WORK:
INSTALL SEVEN (7) ACCORDION 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 X Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,877.62 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
Name BEVERLY MALINOWSKI
Address:6156 SANTA MARGARITO DR.
City: FT. PIERCE State: fL
Zip Code: 34951 Fax:
Phone No.860 805 3798
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: MIRIAM VAN VASSEL
Company:DVT HURRICANE SHUTTERS, INC.
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State:FL
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
E-Mail dvthurricaneshuttersinc@hotmail.com
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 attornev before commencing work or recordin"our Notice of Commencement.
/
Si nature of wner/ Lessee/Contractor as Agent for Owner
nature of 511ntractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA nn//
COUNTY OF J�. �'�
COUNTY OFiChlG! P�
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
!/ Physical Presence or Online Notarization
--jl Physical Prese ce or Online Notarization
this day of J) 1 y 12020 by
this � day of J �� , 2020 by
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A'R"O. �ad 7Lszz
Name of person making statement.
Name of person making statement.
Personally Known Y OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary P u too )
;i1V.,VIVilg� Sue Blume
Si nature of Notar Public- State of Florida
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Vivian
Commission No. _ = COM N # GG297846
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,'�Y1,�%, Sue Blume
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Commission No. ��. COMMft # GG297846
= EXPIRES: April 29, 2023
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EXPIRES: A ril
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°` Bonded ThuAaron
Notary
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION��SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
J
COMPLETED
Rev.
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 1312-501-0027-OW-4
State of Florida, County of St. Lucie
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
PORTOFINO SHORES (PB 43-6) LOT 92 (OR 2086-874)
General description of improvements INSTALLATION OF HURRICANE SHUTTERS
Owner/lessee BEVERLY MALINOWSKI MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
Address 6156 SANTA MARGARITO DR. FT. PIERCE, FL 34951 FILE # 4875587 06/08/2021 12:11:49 PM
OR BOOK 4625 PAGE 1390 - 1380 Doc Type: NC
Interest in property:
100% RECORDING: $10.00
Fee Simple Title holder (if other than owner)
Address
Contractor DVT HURRICANE SHUTTERS, INC Phone # 772-794-1581
Address 3100 N KINGS HWY, FORT PIERCE, FL 34951 Fax # 772-794-1590
Surety Phone #
Address Fax #
Amount of Bond
Lender Phone #
Address 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 Fax #
In addition to himself, owner designates of
Phone # Fax #
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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
�—
wge Orll.essee, ner' r Lessee's Authb orized OtticerJ[lircctor/Partner/Mrgster! Signature
Signatory's Titk/Office
State of Florida, County of_.1 c �`/ cf I
Acknowledged before me this , day of 20 �, by 9,-/)-eR z L /1
who is personal) own to me or who has produced as identification.
)/�L:1-7> )4�elei'✓, 4�f Sup 61—& X �
tgnature of Notary Type or Print Name of Notary �V¢�6� Sue Blume
" COMMISSION # GG297846
Title: Notary Public Commission Number
EXPIRES: April 29, 2023
Bonded Thru Aaron Notary