HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '] / ,
Date: JUIY)4 2021 Permit Number: 2 / o P r V 7S
ST. LUCIE
Cn �.ouNT'c.�rrY
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
RECEIVED
JUL 2 0 2021
8: Fv
Residential X
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: MICHAEL THERRIEN
Property Tax I D #: 1301-605-0104-000-3
Site Plan Name: THERRIEN
Project Name:
THERRIEN
DETAILED DESCRIPTION OF WORK:
INSTALL FOUR (4) HURRICANE ACCORDION 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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $
2,081.04
Generator
Lot No. 7
Block No. 44
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWN'ERAESSEE:
CONTRACTOR:'.
Name MICHAEL THERRIEN
Name: MIRIAM VAN VASSEL
Address: 7808 PACIFIC AVE.
City: FT. PIERCE State: EL
Zip Code: 34951 Fax:
Phone No. 360 720 3669
Company: DVT HURRICAN&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
E-Mail:
Fill in fee simple Title Holder on next page (if different
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
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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 attorn efore commencing work or recording our Noticppf Commencement.
I I e 12�j
Signature f Owner/ Lessee/Contractor as Agent for Owner Signature f Contractor/License Holder
STATE OF FLORIDA <-? STATE OF FLORIDA J
COUNTY OF CJ ' • /� // a 6) 6 COUNTY OF 5Z • 4a e
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence o Onlin
his � e Notarization
tday of rm)��� 202J by this � day of lG ' 202OF by
iry s e l
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known O R Produced Identification
Type of Identification Type of Identification
Prod Produc
11 O
(S gnat re of No ar e r (Signature of Notary Public- of FI i a.
`t�6li 60N # GG297846 ` ' Wean Sue Blume
Commission No. `• ••= EXPIRPtt4pril 29, 2023 Commission No. I`COMMMSION#GG291&i6
•i>F'Bonded Thru Aaron Notary ?�=
' , . • EXPIRES: April 29, 2023
Bonded Thru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.