HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —1
Date: 3\`��� Permit Number:
RECEIVED
Essig
Building Permit Application MAR 2 6 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 Residential
PERMIT APPLICATION FOR: Shutter _ ��•Jv.�dr��
PROPOSED IMPROVEMENT LOCATION:
Address: 9425 S OCEAN DRIVE, JENSEN BEACH, FL 34957
Legal Description: ISLAND VILLAGE PHASE II
Property Tax ID#: 3535-333-0001-790-6 Lot No. BLDG 9
Site Plan Name: Block No. UNIT 67
Project Name: MICHAEL FORNESS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 6 ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E] Gas Tank F]Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 1520 S . of First Floor: 1520
Cost of Construction:$ 3011 Utilities:ln Sewer Septic Building Height: 20'
OWNER/LESSEE: CONTRACTOR:
Name MICHAEL FORNESS Name: Michael Wetzel
Address:23 PEARL AVE Company: M J Wetzel Construction
City: BLADELL State:NY Address: 441 Mississippi Ave
Zip Code: 14219 Fax: City: St Cloud State: FL
Phone No.716-238-6842 Zip Code: 34769 Fax: 407-891-6957
E-Mail: Phone No. 407-709-6867
Fill in fee simple Title Holder on next page(if different E-Mail: richie.roberts@expeditepermit.com
from the Owner listed above) State or County License: CGC1505465
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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 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 yo intend to obtain financing, consultwit nder o attorney before
commencin wor record our Notice of Commencement.
s
Signatur of ner/L see/Contractor as Agent for Owner Sign ur, f CoZRIDA
ctor/License Holder
STATE OF FLORIDA STATE OF FL
COUNTY OF S`�(,UCI e COUNTY OF 5T C UC'1-e—
The
The for oing instr ent was acknowledgedbefore me The forgoing instrument was acknowledged before me
this day of } , 20 1b by this l2 day of M?Q PC 20 1 a by
A c 4 f Q C rte 'rZ t° ( M t G li f A E l
(Name of ackno (Name of n ack ing)
i
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Personally Known0� OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (SeaI1 Commission No. 4Shal)
y Richie Roberts tp;y is ie Roberts
NOTARY PUBLIC < 8 NOTARY PUBLIC
oe 11-+STATE OF FLORIDA o LORIDA
Revised 07/15/2014 =Comm#FF958353 ?Comm#FF958353
s�N E 19�� Expires 6/4/2020 Expires 6/4/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS