HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Sept. r�%, 2021 Permit Number:
RECEIVED
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Lucie County
Building Permit Application St. Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 5752 SPANISH RIVER RD. FT. PIERCE, FL 34951
Property Tax ID #: 1312-502-0051-000-4 Lot No. 44
Site Plan Name: MILTON SMITH Block No.
Project Name: MILTON SMITH
DETAILED DESCRIPTION OF WORK:
INSTALL NINETEEN (19) ACCORDION HURRICANE SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all thpt 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: $ 12165.19 Utilities: -Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MILTON SMITH
Name: MIRIAM VAN VASSEL
Address: 5752 SPANISH RIVER RD.
Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:
Zip Code: 34951 Fax:
Phone No.
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone No772-794-1581
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail dvthurricaneshuttersinc@hotmail.com
State or County License24394
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 before commencing work or recording our Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/license Holder
STATE OF FLORIDA ��
STATE OF
COUNTY OF_� h �i � i �
COUNTY OF, �� � C ; •-�--
Swor to (or affirmed) and subscribed before me of
Physical PresenR or , Online Notarization
this -'J day of 202� by
Swo to (or affirmed) and subscribed before me of
/ Physical Presenc or Online Notarization
this � day of L� 202A by
Name of person making statement.
Name of person making statement.
Personally Known %R Produced Identification
Personally Known ' OR Produced Identification
Type of Identification
Type of Identification
Produ
Produced
(Signature of Notary Publ' ' Flor an Sue Blum
�`_ GG291
CO MI SION # 846
Commission No. ��' EX eR"R, April 29, 2023
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(Signature of Notary Pr#Wrlftof W&W Sue Blume
_ COMMIS
` 11ION # GG297846
Commission No. =�* EXPOH: April 29, 2023
Bonded
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
RECEIVED
NOTICE OF COMMENCEMENT SEP 10 2021
Permit No.
State of Florida, County of St. Lucie
Property Tax ID No. 1312-502tVIN9"
ermi rn
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available 5752 SPANISH RIVER RD, FORT PIERCE, FL 34951
PORTOFINO SHORES -PHASE TWO- (PB 43-33) LOT 44 (OR 3667-2147)
General description of improvements INSTALLATION OF HURRICANE SHUTTERS
Owner/lessee MILTON SMITH MICHELSAINT LLE R.
COUNTY CLERK OF THE CIRCUIT COURT
Address 5752 SPANISH RIVER RD, FORT PIERCE, FL 34951
Interest in property: 100%
Fee Simple Title holder (if other than owner)
Address
Contractor D.V.T. HURRICANE SHUTTERS, INC
FILE # 4892859 07/12/2021 12:04:48 PM
OR BOOK 4646 PAGE 2168 - 2168 Doc Type: NC
RECORDING: $10.00
Phone # 772-794-1581
Address 3100 N KINGS HIGHWAY, FORT PIERCE, FL 34951
Fax # 772-794-1590
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone#
Address
Fax #
Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name
Phone #
Address
Fax #
In addition to himself, owner designates
of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE NSPECTI N. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN A RNEY BEFORE COMMEN G WOR OR ECORDING YOUR NOTICE OF
COMMENCMENT.
V
Owner/Lessee, or Owner's or Lessee's Authorized Office irector/Partner/Manager/ Signature
o w" e- r
Signatory's Title/Office
State of Florida, County of ST LUCIE
Acknowledged before me this �, day of J,(/^+?_ 2021 , by MILTON SMITH
who is personally known to me or who has produced as identification.
VIVIAN SUE BLUME
Signature of Notary Type or Print Name of Notar #9', Vivian SoitOurne
�''"=
Title: Notary Public Commission Number GG297846 COMMISSION * W297846
EXPIRES: April 29, 2023
��'�� Bonded Thru Aaron Notary