HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n (�
Date: 1 '�� Permit Number:
RECEIVED
Building Permit Application FEB 2021
Planning and Development Services St.Lucie Gou ty
Building and Code Regulation Division Commercial X Residential Permitting
2300 Virginia Avenue,Fort Pierce-F134982
Phone: (772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean Dr# 1505, Jensen Beach, FL 34957
Property Tax ID#: 4502-620-0113-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Sharon Cikanek
DETAILED DESCRIPTION OF WORK: : '
2 accordion shutters (front windows
New Electrical Meter Second Electrical Meter (Affidavit required)
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:$ 1,313.00 Utilities: —Sewer —Septic Building Height: 120 ft.
OWNER/LESSEE: CONTRACTOR:
Name Sharon Cikanek Name: Juan Felipe Sosa
Address: 9600 S Ocean Dr# 1505 company:Edwing's Unlimited Shutter ervices LLC.
city: Jensen Beach State: FL. Address: PO BOX 881085
Zip Code: 34957 Fax: City: Port St. Lucie State: FL.
Phone No. (224) 392-0144 E- Zip Code: 34988-1085 Fax: 772 05-9431
Mail: Phone No 772 340-0566
Fill in fee simple Title Holder on next page (if different E-Mail edshutterserviceS Ct gmail.com
from the Owner listed above) State or County License 32279
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.
r
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: Stl te:
Zip: Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not A plicable
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 subjelt 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 1 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-resident aluse
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice f r
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 attorneybefore commencingwork or recordingour Notice of Commence ent.
Signature of Contractor-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this 67-f"day of �c b 202L—by
�)cl.'I SZ G I I
Name of person making statement.
Personally Known OR Pro ced Identifigation
Type of Ide n Produced
(Si .dfure o N ary P- lic-State of Flo
Commission No. r'w Lf(L
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(Seal _ �_NotaJOSEpH GOMEZ
►Y Public-State of Florida
ommission#HH 18()416
�'Z14F ° MNav 20
mmission Expires
ember 16 25
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE ANGROVE
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