HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --�
Date: �• Permit Number: '�i�� �•
RECEIVE
SM[LUC E FEB 11 2 21
9W14" ° °` BuildingPermit Application St.Lucie County
pp Permitting
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane shutters
PROPOSED.`IMPROVEMENT'LOCATION _
Address: 9900 S OCEAN DR 1405 Jensen Beach FL. 34957 _
Property Tax ID#: 4502-503-0139-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Lynne J Brady
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DETAILED DESCRIPTION OF-WORK
. 4
2 accordion shutters-at the front windows
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION 1NFORMATI:ON
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping XShutters _Windows/Doors Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$1-308.00 Utilities: —Sewer —Septic Building Height:1140 ft.
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OWN ER/LESSEE: 'CONTRACTOR:'
Name Lynne J Brady Name: Juan F. Sosa
Address: 9900 S OCEAN DR 1405 Company: Edwing's Unlimited Shutter Services LLC.
City: Jensen Beach State: FL. Address: PO BOX 881085
Zip Code: 34957 Fax: City: Port St. Lucie State: FL.
Phone No. 614) 917-3957 E- Zip Code: 34988-1085 Fax: (772) 9,05-9431
Mail: Phone No (772) 340-0566 1.
Fill in fee simple Title Holder on next page (if different E-Mail edshutterservices@gmail.com
from the Owner listed above) State or County License 32279
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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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.,SUP,PLEMENTAL CONSTRUCTION LIEN`LAW INFORMATION
DESIGNER/ENGINEER. X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 installat on 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.
' o Contractor-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Sworn to(or affirrr�ed)and subscribed before me of X Physical Presence or Online Notarization
this 22, day of U"Cr%6%g- ,20 U by
_ OOka 7F£1!r. .40"
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati Produced 'I`I— 9Y►Y� �wGbNSf�
(Signature of No P blic-State of lorida)
Commission No. H� ►2$0�jej •&m ., JOSE MANUEL REYES
(Seal) _' '�:Commission#HH125018
Expires August 30,2025
BondednmToy Fain Wumm=414r7019
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