HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
p ° 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: 2404 River Hammock Lane
Property Tax ID#: 3404-702-0002-000-8 Lot No.2
Site Plan Name: Block No.
Project Name: Lubet
DETAILED DESCRIPTION OF WORK:
Install 6 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 Shutters Windows/Doors _ Pond
Electric _Plumbing —Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6,500.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Cary&Claudia Lubet Name:John Zervopoulos
Address:2404 River Hammock Lane Company:Advanced Hurricane Protection
City: PSL State:_ Address:4517 SE Commerce Ave
Zip Code: 34981 Fax: City: Stuart State: FL
Phone No. 772-485-5959 Zip Code: 34997 Fax:
E-Mail: Luchiro@aol.com Phone No 772-220-1200
Fill in fee simple Title Holder on next page(if different E-Mail John@AdvancedHurricane.net
from the Owner listed above) 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 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 a commencing work or recordin your Notice ement.
Sign re of Own Les e/ ontractor as Agent for Owner Sig ture of Con actor/L' se Holder
STA f Of4L S FLORIDA
COUNTY OF Markin 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 June 2020 by this 17th day of June 12020 by
Name of person making stateme . 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
(Signs ure of Notary Public-S na re of Notary Publ
V�Y° Notary Pubic Stale of Flonda
per°,,ir Notary PubE State of Ronri r° Met' A�ywoiot
Commission No. GG 133395 = ;(9eel�5a A Ewoldt C mission No. GG 133395 t My CISN'itAklon GG 133395
My Commission GG 133395 �f �o Expires 0811 0120 2 1
e no Expires 0811012021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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