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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date: `''� Permit Number: �. Q 99. dUCE RECEIVED R° SEP 01 2021 Building Permit Application 13t.1-014tOhgnty Planning and Development Services Building and Code Regulation Division Commercial O Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: Hurricane shutters PROPOSED IMPROVEMENT LOCATION: X Address: 509 PONDEROSA DR 42D Property Tax ID #: 3410-507-0168-000-9 Lot No. Site Plan Name: Project Name: Jose M Arnao DETAILED DESCRIPTIO'N,OF WORK: �; ..,: 5 accordion shutters New Electrical Meter Second Electrical Meter CONSTRUCTION 'INFORMATIOW, 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: $ 2,1.20.00 (Affidavit required) Generator Sq. Ft. of First Floor: Block No. Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: 15 ft. OWNER/LESSEE:: CONTRACTOR: Y, ,. Name Jose M Arnao ` "' Name::.JuaF. SOsa n' Companywing's Unlimited Shutter Services LLC Address: 509 Ponderosa DR'""'Ed Fort Pierce 1 -. : FL.-`; ; City: 'State. � PO BOX 881085 ,Address: Zip Code: 34982 Fax: City: -Port St. Lucie State: FL. Phone No. (772) 206-5050 E- Zip Code: 34988 Fax: (772) 905-9431 Phone No (772) 340-0566 E-Mail edshutterservices@gmail.com Mail: Fill in fee simple Title Holder on next page (if, different State or County License 32279 from the Owner listed above) 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 LAIN INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X_ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: ,Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 commented 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 conflicts with any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 our Notice of Commencement. S4�1 Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORID �4 COUNTY OF * Sr L l,tg & before Physical Presence Online Notarization Sworn to (or affirmed) and ubscribed me f of or this a5 day of u (,if 20 �Lf by 7©sue A"tea© Name of person making statement. / Personally Known OR Pro ce`d Identification V Type of Identification Produced lllZt CLAI-C4 (Signature of Notary Public -State of Florida) Commission No.6G 95y2S5 (Seal) BU+NCALSOSA `h Nota Public • State of Florida Notary Commission # GG 959255 My Comm. Expires May 29, 2024 Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW " DATE RECEIVED DATE COMPLETED ev