HomeMy WebLinkAboutBUILDING EPRMIT APPLICATIONi- — - 'i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5ao. 5,uA SCANNED Permit Number:
-4 BY
t. Lucie County RECEIVED
Building Permit Application SEP 0 5 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: Shutter
PROPOSED IMPROVEMENT LOCATION*
Address: 3305 OLEANDER AVENUE, FORT PIERCE, FL 34982
Legal Description: SEE ATTACHED
Property Tax ID #: 2428-502-0010-0004
Site Plan Name:
Project Name:
Setbacks Fr
MATULONIS
MATULONIS
X Back: X
DETAILED DESCRIPTION OF WORK:
Right Side: X
INSTALLATION OF (6) ACCORDION HURRICANE SHUTTERS
INFORMATION:
11HVAC Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 0?17-<e.&1
Left Side: X
lll.—WIC�K all Mapply.
Piping Shutters
nklers Generator
S Ft of First Floor:
Utilities,12 Sewer D Septic
Lot No. 8/9
Block No.
[]Windows/Doors
1:1 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BISCO OF FLORIDA, INC.
Name: MIRIAMVANTASSEL
Address:3305 OLEANDER AVENUE
Company* DVT HURRICANE SHUTTERS INC.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
772-461-2800
Address: 3100 N KINGS HWY.
City: FORT PIERCE State, FL
Zip Code: 34951 Fax: 772-794-1590
Phone No. 772-794-1581
,PhoneNo.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dvthurricaneshuffersinc@hotmall.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:
Name: 5A0Jny-A
Not Applicable
Ok y e-
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:_V0_y-0 I�Ld_tkl�
Zip: Phone
State. JE —
city: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_NotApplicable
BONDING COMPANY: —Not Applicable
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 Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conwict with any applicable Home Owners Association rules, bylaws or ans covenants that ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhich may apply.
w
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 recording your Notice of Commencement.
rif �7 AOyyy
Signature of tractor/License Holder
5F
Signature Owner/ Lessee/Contractor as Agent for Owner
Of
STATE OF FLORIDA
LL'
STATE OF FLORIDA
COUNTYOF C� 0
COUNTY OF
The forgoing instrument was acknowledged before me
this _.�day of h^6-p ,26,6 by
_f �C�
The f?going instrument was acknowledged before me
thiss _dayof . 'e �11' 610 by
5�v�
Name of person making statement
Name of person making statement
Personally Known ----OR Produced Identification
Personally Known �011 Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary PWic- State of Flor'
(Signature of Notary
IE GNENS
Commission No. DE 0 GG 022023
Commission No
DEANNA iVIARIE GIVENS
MYCOW1 GG 022023
.o,Mr%
myc mberJ6 2020
S:Dem ubV;CU �""dtom
NOtM P
EXPIRES. ece ber'16,2020
01 Bonded Tivu Not4y Public Undeny(ders
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'17)
Rev. 8/2/17