HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January j®, 2022 Permit Number: 1 '
RECEIVED
oo d�IC�DLILI
ry JAN 02022
- Building Permit Application St.Lucie County
Permimng
Planning and Development Services
P WiWC11
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: 7106 SANTA ROSA PARKWAY FT. PIERCE, FL 34951
Property Tax ID#. 1301-613-0219-000-7 Lot No. 4
Site Plan Name: CLAPPER Block No. 147
Project Name: CLAPPER
DETAILED DESCRIPTION,OF WORK:
INSTALL THIRTEEN (13) HURRICANE ACCORDION SHUTTERS
ALUMINUM STORM PANELS FOR ONE (1) 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 _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,424.71 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: i' CONTRACTOR:
Name JEFFRY CLAPPER Name: MIRIAM VAN VASSEL
Address: 7106 SANTA ROSA PKWY Company:DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State: , Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax: City: FT. PIERCE State:FL
Phone No. 610-737-2579 Zip Code: 34951 Fax: 772-794-1590
E-Mail: Phone No772-794-1581
Fill in fee simple Title Holder on next page(if different E-Mail dvthurricaneshuttersinc@hotmail.com
from the Owner listed above) State or County License24394
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: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 leridu or an attwney before commencing work or recording our Notice of.,Commencement.
Signature of 0 ner/Lessee/Contractor as Agent for Owner Signature#Contractor/License Holder
STATE OF FLIRIDA STATE OF FLORIDA (�
COUNTY OF 12 �C!?e COUNTY OF 22 �Ilc,iP
Swore to(or affirmed)and subscribed before me of Swop to(or affirmed)and subscribed before me of
?/Physical Presence or Online Notarization blPh ical Presence or Online Notarization
this j0 day of c, n�a.T 202P by this _)day of ,w by
J
Name of person making statement. Name of person making statement.
ta
Personally Known / OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Idaptification
Produced ProducRi. .2 L&Vlluian Sille RIUma
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(Signature of Notaa' ftate o on a (Sig ature of Notary P C-• '' f F
�= C MMISSI N#GG297846 = - MISSION#GG297846
- - ' EXP11�April 29, 2023
Commission No. = EXPIRE(�eA�ril 29, 2023 Commission No.
~�'���,,,� ;;����``�� Bonded Thru Aaron Notary
Bonded Thru Aaron Notary
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