HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR -APPLICATION TO BE ACCEPTED c�
Date: I'L l L Permit Number:
SCANNED BY RECEIVED
Buiif3iftFfth ritiAppikation APR 12 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line " , C III
1 PROPOSED IMPROVEMENT LOCATION: �II
Address: 1012 Shorewinds Drive, Fort Pierce, FL 34949
Legal Description:
CORAL COVE BEACH -SECTION ONE- BLK 7 LOT 11 AND S 10 FT OF VAC ALLEY ADJ ON N (OR 3331-360)
Property Tax ID #: 1425-701-0176-000-4 Lot No. 11
Site Plan Name: North Beach Complex LLC Block No. 7
Project Name: North Beach Complex LLC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of Fourteen (14) Accordion Hurricane Shutters
.tiuwuuue1 wu1n w ua anunueu uuueI uuo Nenuu—uIeLnmiapply.
11 _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
0 Electric 1:1 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sc7,784.00 Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer E] Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:,
Name North Beach Complex LLC
Name: Miriam Van Tassel
Address:2200 Silver Sands Ct t
Company: DVT Hurricane Shutters Inc
City: Vero Beach State:FL
Zip Code: 32063 Fax:
Phone No.813-340-5774
Address: 3100 N Kings Hwy
City: Fort Pierce State -FL
Zip Code: 34951 Fax: 772-794-1590
Phone No. 772-794-1581
E-Mail: jingravallol3@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dvthurricaneshuttersinc@hotmail.com
State or County License: 24394
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: `
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: North Beach Complex LLC (game: Miriam Van Tassel
Address: 1012 Shorevhnds Ddve, Fort Pierce, FL 34949 Address: 2200 Silver Sands Ct
City: Vero Beach State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Address: 3100 N Kings Hwy
City:
Zip: Phone:
Address:
Zip:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 recordina your Notice of Commencement.
Signature TOwner/ Lessee/Contractor as Agent for Owner
I IV
Signature of ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Sk . LOG ��
COUNTY OF S JY. L Ja
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this VGL day of Q A 6N 20i by
this NO, day of 4 p CX 20-\,J by
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Cn�r\avn V-kr CgSSe 1
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 rrL fl\.
Produced T' V IN �+
(Signature of Not filaai� 'J 0?Lp2a `1
(Signature of Notary Publin� GNENS
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17