HomeMy WebLinkAbout0604-0430 APPLICATION FOR STORM SHUTTER PERMITSt. Lucie County Oboq -
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' Building & Zoning Depar tent
• �� 2300 Virginia Avenue rw
Fort Pierce, FL 34982
772-462-1553
APPLICATION FOR STORM SHUTTER PERMIT
SEE REVERSE SIDE FOR INSTRUCTIONS DATE:
1. LOCATION/SITE ADDRESS: !�Q2 &477� % &A) /7r G O
2. PARCEL ID NUMBER: _l�� Oa / ato 0 to fI
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3. DESCRIPTION OF PROJECT OR WORK ACTIVITY:
4. TYPE OF STRUCTURE: SFR [/
5. OWNERS INFORMATION
Name: ///`L�/ �^
Address:
City:
Phone
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Addition v OTHER
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State:
Zip: 4 ,.
6. CONTRACTORS INFORMATION
FL REG/CERT tl: C ;j C 00 � S � 7
COUNTY CERT #:
Business Name:
Type of Surface attachment: Wood Frame Concrete Masonry Other
Product. Minimum Design (Pressure -Product Compliance Method of Attachme
h 13ph Report # As per 1707.4.4.1 FE
Type 120 mp0 m140 mph 140 Exp. C SBCCI Dade Other Anchor Type Anchor
Panels
ecordion
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ALL PRODUCTS SHALL BE LABLED SBCCI OR DADE COUNTY FOR DETERMINING IMPACT RESISTANCE FRO
WIND BORNE DEBRIS. **SEE FINAL INSRE� CTION PROCEDURE FOR EXISTING RESIDENTIAL STRUCTURES ON
7. VALUE OF CONSTRUCTION: $ (� �t .� V 6 / FEES DUE:
vOVVNER'S AFFIDAVIT:
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nnST'',,A��TE Of
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RECEIPT:
I certify that all of the information contained in this application is correct and that all work will be done in
compliance With 'l applicable laws regulating construction and zo '
ng
P INT WNERS NAME S 0 IFIE
'TY OF13R.or�1� Rl1 ACKNOWLEDGED B z
-2 3 DAY OF
Z WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION
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N A �i TYPE OR PRIN eo�pa OF N .'
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NOTICE TO OWNER: YOUR FAILUF, 0 RECORD A NOTICE OF COMMENCE' �T MAY RESULT IN YOU PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: F,'t•06-INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. •4 4
INSTRUCTIONS
Please complete all information in the space.provided.. All information must be, Printed (use black or blue ink only) or Typed.
This application for Shutters to be used for only those. activities that .is not otherwise ..included under a primary building permit. T
application for Permit may not be used for any activity that includes any type or'kind of structural alteration. Building activities involv
structural alteration, in addition to the installation ..of Shutters, must be permitted through:=t}ie regular building permit review process.
information to be provided with this application includes:; d
1. LOCATION/SITE ADDRESS: ............................................ Indicate the street address, or general location, of the property on
which the. building activity is,taking place.
2. PARCEL M NUMBER: ........................................................
3. DESCRIPTION OF PROJECT OR WORK ACTIVITY........
4. OWNERS INFORMATION: .................................................
5. CONTRACTORS INFORMATION: ....................................
6. VALUE OF CONSTRUCTION:
Indicate the Property Tax Identification Number for the property t
which the building activity is taking place.
Briefly describe the building activity under permit application.
Indicate the, name -and address of the owner of the property on..wh
the product is to be installed.
Indicate the State of Florida, (if applicable) and St. Lucie County
,contractor's registration numbers, and -the name of the business
'doing the work.
Indicate the total value of the work to take place. Total cost of
construction includes all material and labor costs associated with 1
building/construction activity. The value of construction is used t
determine the amount'of permitting fees to be assessed. - St. Lucie
County reserves the right to question and/or modify the indicated
value of construction if it -is demonstrated that the submitted figun
are not consistent with similar types of construction.
All applications for the installation of Shutters are to be submitted to the St. Lucie County Building and Zoning Department, St. LL
County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Permits must be complete and fi
with the Department no later 4:30 P:M. each business day. No applications will be accepted for processing after 4:30 P.M. .
assistance in completing this application, please contact the St. Lucie County Building and Zoning Department, at•(772) 462-1553, dur
regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
Following the issuance of this Shutter Permit, the scheduling of all required inspections may be made by calling (772) 462-1261
INSPECTIONS
" ** EXISTING RESIDENCES ,All shutters must 'be installed and in place at the time of t:
final inspection, except for Egress Windows and Doors 'where one panel must be installed a1
the remainder must be by the opening for the inspector to verify remaining panels.
ON NEW HOMES ALL SHUTTER PANELS MUST BE INSTALLED AT TIME NA
INSPECTION OR INSPECTION WILL FAIL AND C.O. WILL NOT BE ISSUED.
SLCCDV FORM NO:O0(
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