HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O
Date:yu/y J> 2021 Permit Number: a I
RECEM
`L L U C L I
0 �L` Y JUL 0 0 2021
L- L `' �` ` LLA. Building Permit Application At
Planning and Development Services � ln�
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 5505 EASTWOOD DR. FT. PIERCE, FL 34951
Property Tax ID#: 1301-614-0019-000-8 Lot No.19
Site Plan Name: BUTLER Block No. 157
Project Name: BUTLER
DETAILED DESCRIPTION OF WORK:
INSTALL NINE (9)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 Z(Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3,895.58 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOE BUTLER Name: MIRIAM VAN VASSEL
Address:5505 EASTWOOD DR. Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:_[Z— Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No.772 489 2507 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.
' 9
Si nature of Owner/Lessee/Contractor as A ent for Owner Signature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF y X. �a COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn o(or affirmed)and subscribed before me of
ysical Presence or Online Notarization Sworn
Presence or Online Notarization
this day of 12 2020 by this�day of )jz/y 2020 by
Uv� )QS5�I
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known / OR Produced Identification
Type of Identification Type of Identification
Produced n Produced
Vian Sue Blume
G ,
(Signature of Notary P e ) (Signature of Notary Pu FI
- - ISSION#GG297846
<= COMMISSION#GG297846
Commission No. =* ?�_' '* EXPO ) April 29, 2023
EXPI )April 29, 2023 Commission No.
- Bonded Thru Aaron Notary
' Bonded Thru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 1301-614-0019-000-8
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
LAKEWOOD PARK-UNIT 12- BLK 157 LOT 19 (MAP 13/12S) (OR 1553-2679)
General description of improvements INSTALLATION OF HURRICANE SHUTTERS
JOE BUTLER MICHELLE R.MILLER,CLERK OF THE CIRCUIT COURT
Owner/lessee SAINT LUCIE COUNTY
5505 EASTWOOD DR FT.PIERCE,FL 34951 FILE# 4861063 05/11/2021 09:09:12 AM
Address OR BOOK 4607 PAGE 1433-1433 Doc Type:NC
1
Interest in property: 00% 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.
Ow /Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Signature
Signatory's Title/Office
State of Florida,County of ��r. ae)e d/
Acknowledged before me this A/,day of C l¢ 20 V,by Joe
who is ersonally known to me or who has produced as identification.
r 7V�LY l✓l� � �LtQ /U7I'l Q
Signature of Notary Type or Print Name of Notary (Seal)
Title: Notary Public Commission Number Vivian Sue Blume
* = COMMISSION#GG297846
EXPIRES:April 29,2023
Bonded Tbu Aaron Notary