HomeMy WebLinkAboutBuilding Permit Application ,.All-APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: r
ID
p ' n�
Building Permit Application j
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
..,PROPOSED IMPROVEMENT LOCATION:-
Address: 7303 HIBISCUS RD FT. PIERCE, FL 34951 j
PropertyTax ID#: 1301-605-0036-000-5 Lot No. 10
Site Plan Name: STERLING Block No. 41
Project Name: STERLING
DETAI>LED-DESCRIPTION.OF.WORK:
INSTALL THREE(3) HURRICANE ACCORDION SHUTTERS j
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New Electrical Meter Second Electrical Meter j
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CONSTRUCTION INFOR, MATION:`, ,
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
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Cost of Construction: $ 2,293.02 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name VENECIA STERLING Name: MIRIAM VAN VASSEL
Address: 7303 HIBISCUS RD Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE StatelL Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No. 954 696 5326 Zip Code: 34951 1 Fax: 772-794-1590
E-Mail: Phone N0772-794-1581 ,
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
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.
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SUPPtEIVIENTALCONSTRUCTION LIEN LAW,IN'FORMATIOM.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE'COMPANY: ; _Not Applicable
Name: Name:
Address: Address:
City: State: City: i State:
Zip: Phone Zip: Phone: i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone: i
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 Amendment's.
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
wit ender or an attorney before commencing work or recording our Notice of Commencement.
Vu-,10 1 •t-D
Signature bf Owner/L ssee/Con ractor as Agent for Owner Signature f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��i L1�i�2 COUNTY OF .,, 41 ;Q
Swo,n to(or affirmed)and subscribed before me of Swofn to(or affirmed)and subscribed before me of
�� Physical Presence or Online Notarization t/ Ph i al Presence or Online Notarization
this)day of 0 d0 F 2020 by this day of c i 202A by
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Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known I--" OR Produced Identification
Type of Identification Type of Identification {
Produce Produced
(Signature of Notary 1 P ,te o ue blum (S nature of Notary Puff( T, ate of F odda )
COM ISSION#GG297846 b�6. /.,, Vlivlan Sue Blume
Commission No. _ w I COMMON
Commission No. =� f'= MI( ON#G0297846
• EXPI �pril 29, 2023 _
ded Thru Aaron Notary =, EXPIRES:April 29, 2023
tionaed Ihn1 Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED j
DATE
COMPLETED
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