HomeMy WebLinkAboutBuilding Permit Application (2) M
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: b
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 APPLICATION FOR: Shutter
PROPO5ED'IIVIPROVEMEIVT LICATICNy {, > "V
Address: 13325 NW Maplewood Rd,Palm City,FL 34990
Legal Description:HARBOUR RIDGE-PLAT 13-BUTTONBUSH VILLAG
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PropertyTax ID#:4426-815-0039-000-4 Lot No.
Site Plan Name: Block No.
Project Name:Terence Bischoff
(Setbacks Front Back: Right Slde: Left Side:
DETAILED DESCRIPTION OF VI�ORK �? t µ
�.tz
Hurricane Shutters.8 Accordion Shutters.
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Cb�ISTRUCT�QN INFORMATION
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Additional work toe r orme a—r
un - is permit-checka appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11Electric0 Plumbing Sprinklers DGenerator
Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 2400 Utilities: Sewer Septic Building Height:
4111(�V�R/LESSEE A k � > r �G CONTRACTOR
<,�,. ,a� ;_ saz � tTu �'':..��„ 5;- S�st � z r � � � " _"��� ?�'r�:`ty.r1✓ � -'�'r,i��e�.,
,Name Terence Bischoff Name:Mike Zanetti
:Address: 5AMt Company:Mastercare Shutter Corp.
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;City: State:_ Address:12980 South East Suzanne Drive
Zip Code: 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:- ire Q
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
qy., .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certifythat no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is grantingapermit will authorizethe permit holderto build the subject structure
which is in conflict with anX,applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,cons nder or an attorney before
cownevehiR wor recordi our Notice of Commence1
Signa ure of O ner/Ag t/Less a Signature of Con tr ctor ice ns Holder
STATE OF FLORI A STATE OF FLORI A
;COUNTY OF �GLQ(I'Y� ry COUNTY OF
The f��$g�in�g instru nt was ackno^wl�dged before me The f oing instr m t was acknowledged before me
this Jvday of I✓ �. I,�S -2,9 �—by this�day of inel % ,Eby
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{Name of on ck ledging} {Name of r n ac wledSing}
ignature qKotary Public-State of Florida) Ognat a of Notary Public-St to afflorlda}
Personally Known Q Personally Known 1 io
Type of Identification Pr ups " MITCH BOCOOK Type of Identification rpt""""' MITCUOMav
Notary Public- tateo Ronda * Notary Public-State of Florida
.a�* • ion#GG 015422 , = commis 15422
Commission No. es M �Fxpires�uizs,zozo Commission No. :a
°F�° My Comm.MITI
of Bonded through National Notary Assn. Bonded through Nadcnil Notary Assn,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS