HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _-Aff2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION,:
Address: 1925 LYNX DR. FT. PIERCE, FL 34949
Property Tax ID #: 1425-620-0009-000-5
Site Plan Name: LINKENHEIMER
Project Name: LINKENHEIMER
DETAILED DESCRIPTION OF,WORK:
INSTALL TWELVE (12) HURRICANE ACCORDION SHUTTERS
TE N_ fto)NAUTILUS ROLLING SHUTTERS - HAND OPERATED
ONE (1) BAHAMA SHUTTER AND ONE (1) COLONIAL SHUTTER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 16
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping is Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 22,606.14
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KIMBELY LINKENHEIMER
Name: MIRIAM VAN VASSEL
Address:1925 LYNX DR.
Company: DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:
Address:3100 N. KINGS HIGHWAY
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Zip Code: 34949 Fax:
City: FT. PIERCE State: FL
Phone N0.724 799 4739
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail dvthurricaneshuttersinc@hotmaii.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
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
city:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
State:
Not Applicable
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 your Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owne ,
Signature of C ntractor/License Holder `
STATE OF FLORIDA n� /
STATE OF FLORIDA
COUNTY OF
COUNTY OF cJ L
Sworn to (or affirmed) and subscribed before me of
Sworryto (or affirmed) and subscribed before me of
,/Aysical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 12020 by
this day of , 202,p by
9/ 1" I'd YK 6/1 7'a,5 se l
/a rA j/ �. % 6 se l
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
Produced
Si nature of Notary P �r;-• _f
(Signature y ,9 �8(�SION # GG297846
Si nature of Notary Pub Flo d n Sue um
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COMMISSION # GG297846
Commission No. •
E �S: April 29, 2023
Commission No. •: EXPIRI&April 29, 2023
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Bonded Thru Aaron
,,� �����`� Bonded Thru Aaron Notary
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Rev. 5/6/20