HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
gro
O l:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address. 7370 Commercial Circle
Property Tax lD #: 1335-802-0029-000-3
Site Plan Name:
Project Name: Delta Regis Tools
DETAILED DESCRIPTION OF WORK:
Install hurricane Screens
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 44
Block No. A
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: $ 5455.00 Utilities: —Sewer — Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name MDL DR Real Estate Inc.
Name: John Zervopoulos
Address: 7370 Commercial Circle
Company: Advanced Hurricane Protection
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-465-4302
Address: 4517 SE Commerce Ave
City: Stuart State: FI
Zip Code: 34997 Fax:
Phone No 772-220-1200
E-Mail: Aaron.Smeal@DeltaRegis.com
Fill in fee simple Title Molder on next page ( if different
from the Owner listed above)
E-Mail John@ Advanced hurricane. 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:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 ob ancing, consult
with lender or an attorne ore commencing work or recording your Notice ommence ent.
Si attire of O r}�r/ Less ee%Contractor as Agent for Owner Si attire tractor/Lic older
STATE OF FLORIDA S 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 111h day of August , 2020 by this 111h day of August , 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
r
'(Sign-atur4 of Notary Public -
MELISSA A.EWOLDT
(S natur of Notary Public- State of F
Commission No. H11146sos
GYP.
AY pp1M1S51ON # HH 546
� 4 PIRES:August10,202
Co mission No. Htilassos
'tens
{Y P
'
MELISSA A. EWOiDT
i MISSION#HH1465'
'rFpr 9onded Shru wawy tic uncle
:q
EXPIRES:August 10, 2025
c�°P''
'.'e oPrE�0�&d
hru NdM Public Undenn
REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED