HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 02021 Permit Number:
S `n LLI LLL
`3 `_ Building 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) 462-1S78
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 123 QUEEN GUINEVERE CT. FT. PIERCE, FL 34951
Property Tax ID #: 1414-701-0017-000-8
Site Plan Name: OTTO
Project Name:
OTTO
DETAILED DESCRIPTION OF WORK:
INSTALL ONE (1) NAUTILUS ROLLING SHUTTER (HAND OPERATED)
FOURTEEN (14) HURRICANE ACCORDION SHUTTERS
STORM PANELS FOR ONE OPENING
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 X Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 18,067.05
Generator
Sq. Ft. of First Floor:
X
Lot No. F
Block No. 2
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RANDAL OTTO
Name: MIRIAM VAN VASSEL
Address: 123 QUEEN GUINEVERE CT.
Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: PL
Zip Code: 34949 Fax:
Phone No. 210 373 2021
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone No772-794-1581
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail dvthurricaneshuttersinc@hotmail.com
State or County License24394
it value oT construction is csuu or more, a KLLURVED 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:
Zip: Phone:
City:
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 your Notice of Commencement.
ignat a of Owner/ Lessee/Contractor as Agent for Owner
Signature f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF /
6 `
COUNTY OF J� /� mil.
Swor to (or affirmed) and subscribed before me of
Physical Presen or Online Notarization
Swor to (or affirmed) and subscribed before me of
lysical
this -U day of \P 202d by
Presenc or Online Notarization
this W day of P 202 by
Name bf person making statement.
Name of person making statement.
/
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pru d
Produce
(Signature of Nota,� ti to F ,da
66I S10N # GG297846
(Signature of Notary � of But: Blame
Commission No. '. EXPIRE&April 29, 2023
_ �= COMMISSION # GG297846
Commission No. EXPIR *ril 29, 2023
Bonded Thru Aaron Notary
,;,'' Bonded Thru Aaron Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1414-701-0017-000-8
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available
QUEENS COVE -UNIT 1- BLK 2 LOT F
General description of improvements INSTALLATION OF HURRICANE SHUTTERS
Owner/lessee RANDAL ALLEN OTTO
Address 123 QUEEN GUINEVERE CT. FORT PIERCE, FL 34951
Interest in property:
100 %
Fee Simple Title holder (if other than owner)
Address
Contractor D.V.T. HURRICANE SHUTTERS, INC.
Address 3100 N KINGS HWY. FT. PIERCE, FL 34951
Surety
Address
Amount of Bond
Lender
Address
Phone # 772-794-1581
Fax # 772-794-1590
Phone #
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE 9 4955110 11/19/2021 12:20:24 PM
OR BOOK 4724 PAGE 808 - 8W Doc Type: NC
RECORDING: $10.00
Persons within the State of Florida designated by Owner upuu
by Section 713.13 (a) 7., Florida Statues:
Name Phone #
Address
In addition to himself, owner designates
Phone #
Fax #
Fax #
provided
of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN A
COMMENCMENT.
COMMENCING WORK OR RECORDING YOUR NOTICE OF
or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature
Signatory's Title/Office
State of Florida, County of ST LUCIE ,,/ I
Acknowledged before me this T day of 7 . 20 �, by /"5 Q if Q l O ,
who i ersonall known to me or who has produced l/ as identification.
Signature of Notary Type or Print Name of Notary (Seal)
Title: Notary Public Commission Number Vivian Sue Blume
COMMISSION # GG29784d
EXPIRES: April 29, 2023
�' 1 ,, Bonded Thru Aaron Notary