HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 5? 3 6
Date. Permit Number• d s
Q.-LGIlI� RECEIVED
° Building Permit Application MAR 102422
Planning and Development Services 3r �ueie
Building and Code Regulation Division Commercial Residential I'errnlnCOu'* v
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
plaz OR
0 RUN
Address:
Property Tax ID #: Z CA 0% - 701 -'Q 0 Ob D 01b '"3 Lot No.
Site Plan Name: Block No.
Project Name:
k
0W.W.
'Fdd "k- 'AkP... n
y� s
New Electrical Meter Second Electrical Meter (Affidavit required)
BID',
ARE ERR
fiv
0:4
`k�...a
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
VElectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 230 p7 Utilities: _ Sewer _Septic Building Height:
Name KrA,.�Gec p►yTM.►��.N. s^ Name:1�rfa✓ J .�'�•�, �YEd
"Company: £. �',�►, `rt-t �Lt ,r fry L
City: ]Cr Pi trc L 1, y State: ' I 'G -, Address: 42OD ►4 IC -z
Zip Code: .?ti5 N7 Fax: City: fT - ik2rG e- State: )Z-c-
Phone No. E- . Zip Code: 2!1 Fax:
Mail. F 4 Q S , .D,Q n'd f '&R COL Phone No I - t4 /
L a� - CC
Fill in fee simple Title Holder on next page (if different E-Mail G .S -r '�C
from the Owner listed above) State or County License bO•ci ./1,/�
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.
le—
]KA,;`lyi��� rf.�x 'K•� r''T^T�' y } ��°'i �( r $ �Y..n �v�4 3�� yC.l�}•.y'L
{�ffy,.�ia..%'.a���'i..���5t/ Y ��£ � � - ,5 i.'}�`^i �+ }ls,� �ja.��LiY4� iTP �,iC
§ 57 #*'`�� �-T- �('°�"
L1�-*' LYu'�.+'..=r.'^ ' *✓.? ova` ..�Ya-S^e='C�:..:L.u�`su-� '�• � ,}��rii_'�C 4 �{.3..id96:.�5
dim 4..�a'E���f1'7 S'^�{'..��'N -0�+T..�C����:K ."rs'.Y 'N�rrNrRFnI iAr�.,..^,%�i....�'Wd�.d
`�f ��,, Y'�i ft�t ��Y �1 hI � �4.r� '���5 S c3 y �� Yh a 1 •`�.
yid Cai i ..�tWaa` .y` �; . �.
'*.�. A.�X.� �J+.�.�i .� � �e$��:eL.a;twvs�dk•=a..y �7s`3d:..S � t
State:
Zip,: Phone
City: State:
Zip: Phone:
HOLDER:City:
FEE SIMPL,E'.TITLE Not Applicable.BONDING
Name:
Name:
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 tl�e'permit holder;tb,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 attornev before commencing work or recordine vou•r Notice of Commencement.
Signature of Con actor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 20_ by
Name of person making statement.
Personally Known, OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
HEATHER BURFORD
Commission No. (Seal)
N��\�!;P�//,V
'�` B�9 Notary Public -State of Florida
=_'6 °_ Commission # HH 218910
My"Commission Expires ''/n,°;,;�°`� February 06, 2026
REVIEWS
FRONT,
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev lu/12/21
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 10 , 2022
Permit Number:
� gir. ILUCU11 0
I, Ip "LUC
Building Permit Application
Planning and Development Services
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: 48 LAS CASITAS
FT. PIERCE, FL 34951
Property Tax ID #: 1301-500-0765-000-2 Lot No.
Site Plan Name: RAYMOND MONK Block No.
Project Name: RAYMOND MONK
DETAILED DESCRIPTION OF WORK:
INSTALL EIGHT (8) ACCORDION HURRICANE SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,386.75
—Gas Piping
_Sprinklers
Shutters _ Windows/Doors _ Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RAYMOND MONK
Name: MIRIAM VAN VASSEL
Company: DVT HURRICANE SHUTTERS, INC.
Address:48 LAS CASITAS
City: FT. PIERCE State:
Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax:
City: FT. PIERCE State: FL
Phone No.
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
E-Mail:.
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
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
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 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 attornev before commencine work or recordine vour Notice of Commencement.
Signature of O ner/ Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA Q
STATE OF FLORIDA
COUNTY OF l J L(C %
COUNTY OF �� , �l! e J Pam.
Swoln to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presen or Online Notarization
Physical Presence or Online Notarization
this 10 day of 202gLby
this J day of &Ac _ 2020y
d,,� 'V 0l,LL
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
Produced
Produc
v%\.A� `' ' �v' n Sue Iiurry,v
Sue Slum
(Signature of Notary�jbl' t o $ION # G+�Zg]�;ii
(Signature of Notary Pub S o o ' ISSION # GG297848
�EXPI S pril 29 20,93
Commission No. �''.'2���n���. �`� Bond ail Aaron Notary
=�,� - EXPIREES; April 29 2023
Commission No. /�ai0.°�� Boe�ThN Aaron Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.