HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:'
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division -
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: 9650 S. Ocean Dr.#309, Jensen Beach, FL. 34957
Legal Description: The Princess of Hutchinson-Island-Unit 309-(or-832-654; 3741-768)
Property Tax ID#: 4502-610-0029-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Hurricane shutter
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1 accordion shutter at the balcony area
CONSTRUCTION INFORMATION:
.Additional work to be nertormed under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
0Electric 0 PlumbingSprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,430.00 Utilities:'n Sewer Septic Building Height:
OWN ER/LESS'Et: CONTRACTOR:
Name Andrew Costa Name: Edwing Sosa
Address:9650 S Ocean Dr. #309 Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen Beach State:FL. Address: 460,NW Concourse Place#16
Zip Code: 34957 Fax: City: Port St. Lucie State:FI.
Phone No.(772)229-3630 Zip Code: 34986 Fax: (772)905-9431
E-Mail: Phone No. (772)370-0766
Fill in fee simple Title Holder on next page(if different E-Mail: ed@edsunlimitedservices.com
from the Owner listed above) State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTRUCTION-LIEN LAW INFORMATION:;
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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 our Notice of Commencement.
Z1vPn �n�A s
_Signature of Owner/Lessee/Agent Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIQA_ JU", �
COUNTY OF 5f- Lln�c_ COUNTY OF JJTT
The forgoing instrument was acknowledged before me The for Mi instrument was acknowledged before me
this day of �k h e 20 15 by this day of 20 ( by
re W►1 ��S I �f (itl�\ (��1� \ \aYp' DARCI E.IVEY
(Name of person acknowledging) (Nam rson acknowledgin , ?:a;+�+;'�= Notary Public-State of I ride
. \ My Comm.Expires Aug 2 016
I �� Commission ti EE 2239
I OF FlU
f q Bended Through National Nota ssn.
(Signature of Nota Public-State of Florida) ignature o o ary Public State of Florida)
\11Y IIII �V10 �1l
Personally Known t�`o�`'" �.'ro r�� �� Personally Known OR Produced Identification
Type of Identificati _I?� e"= Type of Identification Produced...
�N ',�' Commissio #EE 20071 B �i
Commission No. � ., onded Thr �tional Notary Assn. Commission ✓ (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS