HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 2022 Permit Number: ��
RECEIVED
FEB zaz2
Building Permit Application St Lucie County
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permitting
Residential X
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 7906 SANTANA AVE. FT. PIERCE, FL 34951
Property Tax ID #: 1301-604-0102-000-6 Lot No. 5
Site Plan Name: ARVINE WILLAMAN Block No. 31
Project Name: ARVINE WILLAMAN
DETAILED DESCRIPTION OF WORK:
INSTALL FOUR (4) HURRICANE COLONIAL SHUTTERS
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 Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,524.35
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameARVINE WILLAMAN
Name: MIRIAM VAN VASSEL
Company: DVT HURRICANE SHUTTERS, INC.
Address:7906 SANTANA AVE
City: FT. PIERCE Stater
Zip Code: 34951 Fax:
Phone No.772-882-8060
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
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
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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 vour Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
Signature of Iontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF 6k. C if,
L
COUNTY OF ,!W Ibc it
Sworn to (or affirmed) and subscribed before me of
Swor to (or affirmed) and subscribed before me of
1/ Physical Presence or Online Notarization
Physical Presence or Online Notarization
this _LL day of J�QA2 Y,�L &- r 202$6 by
this )Iday of �4�Y--a,129 , 202JI byI
YN 4.4
�i ✓' �'4 n2 %LQ i� ��6Si l
Name of person making/statement.
Name of person making statement.
Personally -Known ✓ OR Produced Identification
Personally Known FOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ry
(Signature of Notary, �Y of UIi14'
(Signature of Notaru S �N a�QZI)%
== COMMISSION GG291844i
Commission No. = •. EXPI I)
April 29, 2023
EXPIRE A,, II 29
Commission No. �'%nip' �ii_`�� 1 �Q��
Bonded rU Apron Notary
Q;;;�` Bonded Thru Aaron Nota ly
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE .
COMPLETED
ev.