HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE FOM jAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
S
Date: / J Permit Number: 1 e�
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
PERMIT APPLICATION FOR: Shutter
Commercial Residential
FROPU5ED IMPRVEME-NT lOCATI4Ni
i.
Address: 12472 Harbour Ridge Rd, Palm City, FL 34990
Legal Description: RIVERSIDE VILLAGE UNIT 3-3 (OR 1108-2080
PropertyTax ID #:4426-510-0019-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Ilsa Leonheart
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION FPF W , K—
Hurricane Shutters (9) Accordions
HVAC Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6200.00
tnis permit — cnecic an InaT apply:
rM
Gas Piping Shutters
MGenerator Sprinklers
S Ft. of First Floor: _
Utilities:[]Sewer Eheptic
❑ Windows/Doors
Roof
Building Height: =
OWNER%LESSEECtIVI"RACT'OR
""'V""
Name I1sa Leonheart
Name: Mike Zanetti
Address: 2808 Four Lakes Dr
Company: Mastercare Shutter Corp.
City: Park City State: UT
Address: 12980 South East Suzanne Drive
Zip Code: 84060 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: Mfet_ty(u)Mastercareshutter.com
from the Owner listed above)
State or County License:
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SU.PPLEMENTALCONSTRUCTION LIEN LAWN INFORMATION':',,1 �
FRONT
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 Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in wnty ict 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 roperty. A Notice of CommencerrtentTmust be recorded and posted on the jobsite
before thefirst-iri$pec 9n. If you intend to obtain financing, consult with lendSr�r an attorney before
col cinl?:w'irlc or ecd'rdine Commencement. vour Notice of Commenment. l li
Lessee I SiatAture of,Contractor/License Holder
STATE OF FLO71DA I STATE OF FLORIDA'
COUNTY OF/ 5f !� �Lc`C�% COUNTY
The f oing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this II day of 20 W by this 17 day of lam % , 20 jA by
C. PA
{Name of person aclneoedging } {Name of person acknowigdging }
(Signature of�i'otary Public- State of Florida) ----_I (Signature of N(lary Public- State of Flo—r-IcTa
Personally Known OR Produced Identification Personally Known _ K OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. (Seal) I Commission No.
Revised 07/15/2014 t%mm,�,,/eIEXUPIXOM: Ss�baGlizoio
ROBERT ELLESON
COMS UU60—
E MI11,2020
EXPIRES: September
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