HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 20 , 2021 Permit Number:
RECEIVED
Building Permit Applicatio
IIEP 20 2021
Planning and Development Services I
t� _ �ilg(iina
Building and Code Regulation Division Commercial Resi e
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
RROPOSEp:IMP.ROVEMENT LOCATION
Address: 5701 EASTWOOD DR. FT. PIERCE, FL 34951
Property Tax ID #: 1301-613-0403-000-4
Site Plan Name: CHIORAZZI
Project Name: CHIORAZZI
"DETAILEDD'ESCRIPTION OF,V1/ORK: i INSTALL TWO (2) ACCORDION HURRICANE SHUTTERS
ALUMINUM STORM PANELS FOR TEN (10) OPENINGS
New Electrical Meter Second Electrical Meter
t0 § T;rRUCTIONrINFORMATION
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping ✓Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,340.08
Lot No. 15
Block No. 154
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
_b1NINt LESSEE:. ::; . :: A
TRACTOR CON;
Name JESSICA CHIORAZZI
Name: MIRIAM VAN VASSEL
Address: 5701 EASTWOOD DR
Company: DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.561 371 7990
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail dvthurricaneshuttersinc@hotmail.com
from the Owner listed above)
State or County License24394
it 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 jbwnerl Lessee/Contractor as Agent for Owner
Signature of C ntractor/License Holder
STATE OF FLORIDA pJ j� e l.�
COUNTY OF c1'l' /�,
COUNTY STATEOFFLORIDA
Sworwto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 9O day of ,Jepleflt_Fe_�_ 202P by
Swop to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
thisis -0day of S�����, b-eA , 2020 by
.-/,'P /a M f d ,r *5 5-e /
%i( ),r i - 4 a AIX 'la ss' �
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ____0R Produced Identification
Type of Identification
Type of Identification
Produce
/2 p
(Signature of Notary Pu` �qf FI lien Sue Blume
:�- CO MI�SION # GG297848�'=
Commission No. ' af_ a
;, EX I�i�ES: April 29, 2023
Produce
(Sig ature of Notary Pul�lrf,,�of FI�/jin Slue Blume
Commission No. =* COMrjpN # GG297846
:,, •�.• ' �, EXPIRES:Aril 29 2 023
Notary
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