HomeMy WebLinkAboutBuilding Permit Application • - 7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 94982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATIONTOR: Shutter
PRPPOSER IMPRt VEMENT.LOCATIt}N: ' ..
., .M
Address:7410 S.Ocean Dr. Apt.#D-210,Jensen Beach,FL 34957
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D-UNIT 2
PropertyTax ID#:3522-605-0011-000-9 Lot No.
Site Plan Name: Block No.
Project Name:Ed Lasalle
Setbacks Front Back: Right Side: Left Side:
DETAILED 7, _W OF W RK:s '
Accordion Hurricane Shutters
sa
CC}NUCTlt?f lNFORM
5TRA►TlQN Xt r;ri
Additional work to be nerfortfied under t nis permit—c ea appy:
OHVAC U Gas Tank ❑Gas Piping IS
hutters ❑Windows/Doors
DElectric I Plumbing Sprinklers EiRoof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 4800.00 Utilities:nSewer E lSeptic Building Height:
}UUNER LESSEE '
Ct3NTRACTOR:
Name Ed Lasalle Name:Mike Zanetti
Address: 7410 S.Ocean Dr. Apt.#D-210 Company:Mastercare Shutter Corp.
City, Jensen Beach State: FL Address:12980 South East Suzanne Drive
Zlp Code: 34957 Fax: City Hobe Sound State•FL
Phone No. Zip Code: 33455 Fax:(772)545-3297
E-Mail: Phone No. (772)545-3300
Fill in fee simple Title Holder on next page(If different E-Mail:Mfetty(a,Mastercareshutter.com
from the Owner listed above) State or County icense:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
• 6
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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no represengtaion that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with anXapplicable Home Owners Association rules,bylaws or and covenants that may restrict or pro ibit 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 I n er or an attorney before
commencing wg or re4brding your Notice of Commencement.
Signature offOwiier/f g-1W Lessee Siggatureof Co fIDA
o License Holder
STATE OF F R'1DA STATE OF F
COUNTY",OF COON. 0
The forgoing instrument was acknowledged befor
The forgoing instrument was acknowledged_before me g
this —day of -FG b fv" . 20 l j� by this day of��r✓otr-�, ,20_1 by
�O
a e of person ackno ledging} {Name of person cknowledging} c
xr
N
z
M g ture of Notary Public-State of Florida)
{Signature of Notary Public-State of Florida}
te
R's nally KnownOR Produced Identification Personally Known � OR Produced Identification
f Identification Type of Identification Produced
ROBERT ELLENSON
ission No. My conMI}a ca28815 Commission No. (Seal)
OP IRE8:September 11,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS `