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5
ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: InPermitNumber: ' l
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 Residential X
PERMIT APPLICATION FOR: Shutter
P-ROPOSEQ 1 M PROVEM ENT LOCATION ._ _.-.- _ � ,.
Address: 3909 Shore Side Dr Tarpon Flats,Ft Pierce,FL 34949
Legal Description: TARPON FLATS SUBDIVISION(PB 69-27)LOT 8(OR 3793-1161)
Property Tax ID#:1423-566-0011-000-1 Lot No.8
Site Plan Name: Block No.
Project Name:Mike McDonald
Setbacks Front Back: Right Side: Left Side:
DETAILEQ D.E5CRIRTION OF WORK
Hurricane Protection Products-2 Openings
s
CONSTRUCTION INFORMATICiN
Aclaitional work to (ever orme under this permit—check a app y:
HVAC L__I Gas Tank Gas Pi in X_Shutters Windows Doors
❑ p g ❑Windows/
Doors
Electric �Plumbing Sprinklers 0 Generator 11 Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6,611.00 Utilities:
Sewer FiSeptic Building Height:
011VNER%LESSEE , T 4 �,_ CONTRACTOR
.. ._ _....�......,... __ z
Name Mike McDonald Name:Brian Rist
Address: 3909 Shore Side Dr Tarpon Flats Company:Storm Smart Building Systems
City: Ft Pierce State: FL Address:6182 Idlewild St
Zip Code. 34949 Fax: City:Fort Myers State:FL
Phone No. 301-908-7070 Zip Code: 33966 Fax:884-330-8277
E-Mail:_ mcdona1d0317@mcdonaldeudy.com Phone No. 561-229-0048
Fill in fee simple Title Holder on next page( if different E-Mail: Sales(&StormSmartSE.com
from the Owner listed alcove) State or County License:CGC1519801
'aYA.J_1_
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
SIJtiPPLEMENTAL CONSTRUCTION LIEN LAVCi''INFORMAl"ION
DESIGNER/ENGINEER: _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: Clty:
Zip: Phone: Zip: Phone:
I certifythat 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 holderto 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 oonsideration 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 wok or rec9rding your Notice of Commencement.
'�e .
_ Mike McDonald777-
Signature of Contractor/License Holder
STATE OF FLORIDA,(� STATE OF FLORIDA
COUNTY OF iC.W, "1°SP,N COUNTY OF
The forgoing instrument was acknowledge ore me The forgoing instrument was acknowledged before me
this c�day of lir T 20 1 y this day of 2014 by
A me-bo&rol
(Name of person acknowledging) (Name of person acknowledging}
(Signatur otary Public-State of Florida) (Signature of Notary Public-State of Florida}
Personally Kno n .�.r,. � en Personally Known OR Produced Identifikation
Type of Idents �'� ssieMl� Type of Identification Produced
Expires July 1,2021Ic�'�1
Commission N . "' � TfoyFainlneoranppppp3gb7019 Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
F
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: ,XNot 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 covenantsthat 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 nd or an attorney before
commencing work or recording our Notice of Commencement.
ATM HD
Signature of Owner/Agent/Lessee gn ure Contractor/License Holder)
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF L e F_
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this day of 20 14 by this-a day of 20__J by
3 lz_ ►s t2 --
(Name of person acknowledging) {N a of person acknowledging)
{Signature of Notary Public-State of Florida) i nature of Notary-Public-State of Florit:�
Personally Known OR Produced Identification ee onally Known V OR Produced Identification
Type of Identification Produced Ty a of Identification Produced - _
JAIMESUANEZ
Commission No. Seal Commission No. FFO Z%q S 2 eat NY COMMISSION#FFO 52
No. (Sea[) Q EXPIRES:February 3,. 18
q,. BondedThmNotaryPublicUn riters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS