HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1�o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Hurricane Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 8331 Muirfield Way
Property Tax ID #: 3328-802-0011-000-8
Site Plan Name:
Project Name: Levy
DETAILED DESCRIPTION OF WORK:
Install 13 Accordions & 1 Hurricane Screen
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 8
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical — Gas Tank _ Gas Piping Shutters Windows/Doors _ Pond
Electric _ Plumbing — Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Patricia Levy
Name: John Zervopoulos
Add ress:8331 Muir -field Way
Company: Advanced Hurricane Protection
City: PSI- State: _
Zip Code: 34986 fax:
Phone No. 267-575-8239
Address: 4517 SE Commerce Ave
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-220-1200
E-Mail: Pat8953@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail John@AdvancedHurricane.net
State or County License CBC1259339
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 attorney befor mmencing work or recording our Notice of Co cement.
C;�
Sign Lessee/C ntractor as Agent for Owner
6! �01&1
Signature f Co r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF martin
COUNTY OF martin
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 or
Online Notarization
this 17th day of
, 2D20 by
this 17th day of June
2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signat re of Notary Public- 5
gnat re of Notary Public- State of Florida )
Notary Pub,rc State of Florida
Commission NO. GG 133395
(�sa A Ewoldt
-, mmission GG 133395
�f of Expires 0811012021
C mmisslon No, GG 133395
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COM PLETE D
ev. 5/6/20