HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: November /9 2021 Permit Number: ^ak\I
RECEIVED
o ��� NOV 19 202�
Building Permit Application St.Lucie County
Planning and Development Services ,
Permitting
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: 7407 SEBASTION RD FT. PIERCE, FL 34951
Property Tax ID#: 1301-602-0135-000-0 Lot No. 15
Site Plan Name: KARSPINSKI Block No. 16
Project Name: KARSPINSKI
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DETAILED DESCRIPTION OF WORK: Ir
INSTALL TEN (10) HURRICANE ACCORDION SHUTTERS
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New Electrical Meter Second Electrical Meter
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CONSTRUCTION INFORMATION:
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: $ 3,970.79 Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name JANUSZ KARSPINSKI Name: MIRIAM VAN VASSEL
Address:7407 SEBASTIAN RD Company:DVT HURRICANE'SHUTTERS, INC.
City: FT. PIERCE State:f(_ Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE I State:FL
Phone No.252-370-6581 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone N0772-794-1581
Fill in fee simple Title Holder on next page(if different E-Mail dvthurricaneshuttersine@hotmail.com
from the Owner listed above) State or County'License24394
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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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address: I
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: I Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 restrictio s 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 tb obtain financing, consult
with krffNer or an attorney before commencing work or recordiagyour Notice of Commencement.
Signature of wner/Lessee/Contractor as Agent for Owner Signature of C ntractor/Lic nse Holder
STATE OF FLORIDA /Gt C STATE OF FLORIDA
COUNTY OF S F• COUNTY OF
SwoT to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed jibed before me of
i/ Ph sical Presenc or Online Notarization Physical Presen a or Online Notarization
this day of fJ 2 ?"• 2020 by this JA day of ,/Q $—t 2026 by
La it 7a 5 ,,e 0
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ' ✓ OR P loduced Identification
Type of Identification Type of Identification
Produced" Produc
avian Sue Blume
(Signature of Notary Pq c- rErcf
►,�►����� �F (Signature of NotaryP ;sf
EXPIRES: 29, F
ION 4-ru297846
Commission No. Commission N EXPI i orll29 2023o.April
Bonded Ttlru Aaron Notary
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW (REVIEW REVIEW
DATE
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