HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �J 2
Date: Permit Number:
°r Building Permit Application RECEIVED
Planning and Development Services JUL 2 101i
Building and Code Regulation Division Commercial X Residential
nt
2300 Virginia Avenue,Fort Pierce FL 34982 permitting pepartme
Phone:(772)462-1553 Fax:(772)462-1578 St.Lucie county
PERMIT APPLICATION FOR: Hurricane shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 7420 S Ocean DR Apt 614, Jensen Beach, FL 34957
Property Tax ID#: 3522-604-0033-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Kristopher Lee Thomas
DETAILED DESCRIPTION OF,WORK:-
(accordion shutter (balcony are
3 accordions (for a windows)
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION"INFORMATION:
Additional work to be performed under this permit—check,all that apply:
_Mechanical _Gas Tank _Gas Piping _XShutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 5,037.00 Utilities: —Sewer —Septic Building Height: 76 ft.
OWN ER/LESSEE: CONTRACTOR'
Name Kristopher Lee & Lisette Jacome Thomas Name: Edwing Sosa
Address:7420 S Ocean DR Apt 614 Company: Edwing's Unlimited Shutter Services L.L.C.
city: Jensen Beach State: FL. Address: PO BOX 881085
Zip Code: 34957 Fax: city: Port St. Lucie State: FL.
Phone No._ (561) 662-2730 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@edsunlirnitedservices.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 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.
Sig re of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDyy.
COUNTY OF J 1 L to G c
Sworn to(or affirmed)and subscribed before me of V Physical Presence or Online Notarization
this � dayof uI 202.) by
KriTtn �tr LLf ( � ok^c�f
Name of pers n making statement. I/
Personally Known OR Pro ced Identification "
Type of Identification Produced t. L—,
0 0_4�vm q I Sara
(Signature of Notary Public-State of Florida) kh
V Pu•. BLANCA L SOSA
Commission No. G `f S 9 195 ($eal) Notary Public-State of Florida
Commission H GG 959255
s:
oFvy,,, My Comm.Expires May 29,2024
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21