HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \�a.\i�.\ Permit Number: a`\_ \ 3� 1_
I
i
Ov. NOV 12 2021
o -
p St.Lucie County
Building Permit Application Permitting
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 CBDG Funding j
PERMIT APPLICATION FOR: hurricane shutters
PROPOSED.IMPROVEMENT LOCATION:
Address: 45 Camino Del Rio, Port Saint Lucie, FL 34952
Property Tax ID#: 3427-500-0075-000-1 Lot No. 45
Site Plan Name: Block No.
Project Name: William Mc Gill Ring
I
DETAILED DESCRIPTION OF WORK:
is
6 accordion shutters
New Electrical Meter Second Electrical Meter (Affidavit requii ed)
CONSTRUCTION INFORMATION: ,
I
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
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 5,949.00 Utilities: _Sewer _Septic Bilding Height: 15 ft.
OWNER/LESSEE: CONTRACTOR-'- ' 4
NameWilliam Mc Gill Ring & Patricia L Campbell Name: Juan F. Sosa
Address: 45 Camino del Rio Company: Edwing's Unlimited Shutter Services LLC.
City: Port Saint Lucie State: FL. Address: PO BOX 881085
Zip Code: 34952 Fax: City: Port St. Lucie State: FL.
Phone No. (772)402-5446 E- Zip Code: 34988-1085 Fax: (772) 905-9431
Mail: - Phone No (772) 340-0566
Fill in fee simple Title Holder on next page (if different E-Mail edshutterservices(-'-g mail.corn
from the Owner listed above) State or County License 32279
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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
NN
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
'I
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: xNot Applicable
Name: Name:
Address: Address:
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 conflicts with any.applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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
Signature of Owner/Lessee/Contractor as Ag nt for Owner
i
STATE OF FLORIDA
COUNTY OF ST. LUCIE /
Sworn to(or affirmed)and subscribed before me of V Physical Presence or Online Notarization
this C day of V o J e.v% L-r 20 21 by
Wt l`� '-," PA C_ G i O
Name of person making statement. /
Personally Known OR Produced Identification V
Type oppf Identification Produced
(Signature of Notary Public-State of Florida)
+yyiii'a BLANCA L SOSA
Commission No.GG 15'1155 (Seal) ;FMIA
Notary Public State of Florida
�° Commission N GG 959255
ppp� My Comm.Expires May 29,2024
.�,.
• Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEI TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev