HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '�� Permit Number:
97. L��1C��g , SIZ124
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P 11L o a D n -- Building Permit Application M 2021
Planning and Development Services
St. Luc. Co ty
Building and Code Regulation Division Commercial Residential permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICAN SHUTTER INSTALLATION
PROPOSED IMPROVEMENT LOCATION: 154 N. NARANJA AVE PORT ST LUCIE
Address:. 154 N. NARANJA AVE PORT ST LUCIE
Property Tax ID #: 3419-530-0223-000-2 Lot No.1
Site Plan Name: RIVER PARK Block No. 40
Project Name: ADDINGTON
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (4) ACCORDIAN HURRICANE SHUTTERS ON (4) WINDOWS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3100
Gas Piping
Sprinklers
(Affidavit required)
X Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL ADDINGTON
Name: WILBUR DEAN TERRY
Company: TERRY'S SCREEN & SHUTTERS INC
Address: 154 N. NARANJA AVE
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone No. 704-467-4822
E-Mail: krista.addington0comcast.net
Address: 252 SE ILA St
City: STUART State: FL
Zip Code: 34994 Fax:
Phone No 561-239-2044
E-Mail DEANSCREEN GMAIL.COM
State or County License d
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requ
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
ST. Lucie County, Permitting
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION`:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
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 pg—sted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lenderama4ttor6ev before commencing work or recording your Notice of Commencement.
J//, 46 �
ture of Owner/ Lessee/Contracto6iXgent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of xx Physical Presence or Online Notarization
this 9th day of August , 2021 by
WILBUR DEAN TERRY
Name of person making statement.
Personally Known xx OR Produced'Identification
Ty enti lcation Produc
gnatu a of Notary Public -State o or. �•., �y -
`;JANE.L "Co
f Notary Pubilc . StaE'e of Florida
Com fission No.AH s
Comn;issidn HH 086315
............O ` My Comm. Expires tan 28. 2025
Bonded hough National Notary Assn.
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