HomeMy WebLinkAboutAPP B-7 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`l:, LUcLL
Building Permit Application
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 1202 NW Winters Creek Rd Palm City, FL 34990
PropertyTax ID#: 4423-701-0006-000-5 Lot No. 2
Site Plan Name: Susan Steurer-Hesch Block No.
Project Name: Susan Steurer-Hesch
DETAILED DESCRIPTION OF WORK:
Installation of hurricane protection products on ( 3 ) oPenings
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
—Mechanical _ as Fank —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:$ $24,559.00 Utilities: —Sewer _Septic Building Height: 22ft
OWNER/LESSEE: CONTRACTOR:
Name .Susan Steurer-Hesch Name: Noreen Rayner
Address: 1202 NW Winters Creek Rd Company: Storm Smart of Southeast FL
City: Palm Cite, State: FL Address: 4047 Okeechobee Blvd Suite 106
Zip Code: 34990 Fax: City: West Palm Beach State: FI,
Phone No. (847)833-1153 Zip Code: 33409 Fax: (844) 330-8277
E-Mail: stsmangmnt@gmail.com Phone No (561) 229-0048
Fill in fee simple Title Holder on next page(if different E-Mail - s GGu.� (m1t fit��1 Imo• (v
from the Owner listed above) State or County License CRC1332755
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: X Not Applicable MORTGAGE COMPANY: __,X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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.
I 4T-P_PA') /14')
Signature of Owner/Lessee/Contractor as Agent for Owner Signat ,rR of Contractor/d tense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 24 day of Semember 2020 by this 28 day of October 12020 by
Susan Steurer-Hesch Noreen Rayner
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification X Personally Known OR Produced Identification X
Type of Identification Type of Identification
Pro ,iced DL Produced DL
(Signature of Nota P
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