HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED x� J
Date: March 17, 2022 Permit Number: ����✓JCp.
RECEIVED
° Building Permit Application MAR 17 2022
Planning and Development Services St, LWQla C®f+fjty
Pofftolho
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: 6782 PICANTE CIR FT. PIERCE, FL 34951
Property Tax I D #: 1306-500-0198-000-1
Site Plan Name: HERMANN, CHARLES
Project Name: HERMANN, CHARLES
DETAILED DESCRIPTION OF WORK:
INSTALL TEN (10) 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 X Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 10, 295.84
_ Generator
Sq. Ft. of First Floor:
Lot No. 4
Block No. 52
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCHARLES HERMANN
Name: MIRIAM VAN VASSEL
Address: 6782 PICANTE CIR
Company: DVT HURRICANE SHUTTERS, INC.
City: FT. PIERCE State:
Address:3100 N. KINGS HIGHWAY
Zip Code: 34951 Fax:
City: FT. PIERCE State: FL
Phone No.917 544 7638
Zip Code: 34951 Fax: 772-794-1590
Phone N0772-794-1581
E-Mail:
E-Mail dvthurricaneshuttersinc@hotmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License24394
from the Owner listed above)
it value of construction is 7500 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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
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 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 recording our Notice of Commencement.
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Signature of ntractor/License Holder
Signature o Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA cc
STATE OF FLORIDA
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COUNTY OF �J�, /i�i 2�
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COUNTY OF � /,�
Swgrn to (or affirmed) and subscribed before me of
!� Physical Presence or Online Notarization
this day of ��l ¢,�'�—J 202�by
Swo i to (or affirmed) and subscribed before me of
Y Ph sical Presence or Online Notarization
this day of %/��1'C lip 202J by
Name of person making statement.
Name of person making statement.
Personally Known � OR Produced Identification
Personally Known �r OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P ' of Sue Blume
:� ' �0" I
Commission No. __ C( fON GG297846
EXP REApril 29, 2023
onded Thru Aaron
(Signature of Notary P -
_ "AlWSSIoN # (30297846
Commission No. %, •''EXP E$I)AAril29, 20. 3
Bonded Thou Aaron Nlary
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