HomeMy WebLinkAboutBuilding Permit ApplicationAll -APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: October !y, 2021 Permit Number:. ll 0 .0� 0 �P
0
°WBuilding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
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Address: 18706 MACH ONE DR. FT. PIERCE, FL 34987
Property Tax ID #. 3215-801-0008-000-4 Lot No. 1
Site Plan Name: McGRATH Block No. 1
Project Name: Mc GRATH
DETAILED DESCRIPTION OF WORK:
INSTALL EIGHT (8) HURRICANE ACCORDION SHUTTERS
FOURTEEN (14) BAHAMA HURRICANE SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION -INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 15,881
t
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer —Septic Building Height:
'OWNER/LESSEE-
CONTRACTOR:
Name DUSTIN McGRATH
Name: MIRIAM VAN VASSEL
Address:18706 MACH ONE DR.
Company: DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: Ft
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State: FL
Zip Code: 34987 Fax:
Phone No.928 710 5747
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
&Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail dvthurricaneshuttersinc@hotmail.com
State or County License24394
from the Owner listed above)
it vaiue of construction is z5UU 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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 6f Owner/ Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA �� G
l
COUNTY OF i �/l Ci Q� COUNTY OF
Sworn to (or affirmed) and subscribed before me of SwoT to (or affirmed) and subscribed before me of
bl-j Physical Presence or Online Notarization V Physical Presence or Online Notarization
this — q- day of 202�! by this ' day of r�% /G�%� 2020 by
Y)"" �'19 >7t- a
60)t r4)s 15 Y,4 5"P Z
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known `---." OR Produced Identification
Type of Identification Type of Identification
Produced Produced
-Q. gQ
Awvivian Sue Saute: cab
(Signature of Notary _ i t f COMN99SION # GG297846 (Signature of Notary P ; . ofVhtfon Sue Blume
� , EXPI%E Aprll 29 2023 COMM SIIIN # GG297846
Commission No. _� Commission No. _* ea
Bon ed liiu Aaron Notary. EXPIR April 29, 2023
Banded Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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