HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -n n
Date: March 3, 2022 Permit Number: d '�/V - 067y
Building Permit Application MAN 6 8 2M 2
Planning and Development Services I.
Building and Code Regulation Division Commercial Residents i
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HURRICANE SHUTTERS
PROPOSED IMPROVEMENTLOCATION:
Address: 2703 N HIGHWAY A1A H FT. PIERCE, FL 34949
Property Tax ID #: 1425-701-0167-390-8
Site Plan Name: ERIK MARTINEZ
Project Name: ERIK MARTINEZ
DETAILED DESCRIPTION 'OF WORK:
INSTALL FOUR (4) HURRICANE ACCORDION 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 ZC Shutters
Electric . _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3131.66
Sprinklers _ Generator
Sq. Ft. of First Floor:
Lot No. 8
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name ERIK'MARTINEZ
Name: MIRIAM VAN VASSEL
Address: 2703 N HIGHWAY A1A H
Company: DVT HURRICANE SHUTTERS, INC.
City: FT..PIERCE State:
Address:3100 N. KINGS HIGHWAY
Zip Code: 34949 Fax:
City: FT. PIERCE State: FL
Phone No. /lO % - ,5 %7,ZZ.
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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 recordirfg your Notice of Commencement.
V2,
Siynature of Co ractor/License Holder
Signature 01 Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 2. /ac'j 'e,
STATE OF FLORIDA /
YG
COUNTY OF U5
Swoyn to (or affirmed) and subscribed before me of
d
Sworp�to (or affirmed) and subscribed before me of
Physical Presen or Online Notarization
this L day of 202A by
Physical Prese ce or Online Notarization
this day of I'CA 202g�,,by
—,.L
_/QAsp
W)"o�'4 M oax %ss'e /
�, 2 ! g 4( �ty / —
Name of person making statement.
,1
Name of person making tatement.
Personally Known / OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Producpd
Produced
D
P
2"
9 ►_�Z .�i1 . ""Pell
(Signature of NotaryI' - State o Florida
•� WN, Josue ElItIme
(Signature of Notay�u a �td111' dN GG297846
Commission No. _ a` " COM�91j)tGG297�
EXP
Commission No. '�.C>F�w!;`ia`IRESF�`�1�129, 2023
—Bonded"Fill
EXPIRES: Aril 2
7hr' Aaron �10 ry
"' it «"
'%Ond0d Thru Aran
NNp}},��
REVIEWS
FRONT
ZONING
SUPEi�OISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20