HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 10, 2022 Permit Number:
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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) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
,PROPOSED'IMPROVEMENT LOCATION:
Address: 5115 ECHO PINES CIRCLE E FT. PIERCE, FL 34951
RECEIVED
MAR 10 2022
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Property Tax ID #: 1312-801-0200-000-2 Lot No. 397
Site Plan Name: JOAN FREIWALD Block No.
Project Name: JOAN FREIWALD
DETAILED -:DESCRIPTION OF WOR'K:�
INSTALL ELEVEN (11) BAHAMA HURRICANE SHUTTERS
New Electrical Meter Second Electrical Meter
FciVSTRUCTIONLNFOR�MATION:
Additional work to be performed under this permit— check all
_Mechanical _ Gas Tank _ Gas Piping Shutter _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 7,717.36 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE::.
,CONTRACTOR:: .
NameJOAN FREIWALD
Address:5115 PINES CIRCLE E
Name: MIRIAM VAN VASSEL
Company: DVT HURRICANE SHUTTERS, INC.
Address:3100 N. KINGS HIGHWAY
City: FT. PIERCE State: EL
Zip Code: 34951 Fax:
Phone No.954-665-5626
City: FT. PIERCE State: FL
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
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 INFQRMATION:
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wofk 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-t- . der or an attorney before commencing work or recording our Notice of Commencement.
�;ature
ofOwner/ Lessee Contractor as Agent for Owner
Signature o Contractor/License Holder
STATE OF F'LORIDA
COUNTY OF/
STATE OF FLORIDA /
COUNTY OF �� fi `(e
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Sworyi-to (or affirmed) -and subscribed before me of
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Sworn o (or affirmed) and subscribed before me of
ZPhysical
Physical presence or Online Notarization
Presence or Online Notarization
this — day of . y}i4/' �� 202�,by
this 10 day of !R 202by
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Name of person making statement.
Name of person making statement.
Personally Known ./ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produc
Produc d
Vim. I „ Sue Blume
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(Signature of Notary P_ , i - a f 11SSI®N CG2971348
(Signature of Notary Publics Aprid gvlan Sue Blum
Commission No. ai :, ? EXP : April 29, 2023
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Commission No. R 5
Bone Aaron Notary
April 29, 202
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ev. 5/6/20