HomeMy WebLinkAboutBuilding Permit Application (2) - AIL
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �O(Q w oa(p(o
Date: Permit Numbe
Building Permit Application
JUN 12 2018
Planning and Development Services Permitting Department
!Building and Code Regulation Division St. Lucie County, FL
j 2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4624553 Fax: (772)462-1578 Commercial Residential
'PERMIT APPLICATION FOR: Shutter
RFtOPOS`EQ 111/ItPRdVEM,ENT
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Address: 1308 Lancewood Terr,Palm City,FL 34990
,Legal Description:HARBOUR RIDGE-PLAT 9-LANCEWOOD VILLAGE
�PropertyTax ID#:4426-804-0013-000-2 Lot No.
Site Plan Name: Block No.
,Project Name:Mike Henderson
Setbacks Front Back: _Right Side: Left Side:
.°" �7`�, h 'L " , t"r r 5 s _A,'' i 1 s �„ r ,� {L .. , Sef r?` S�j^ ..,J-t
.. _ Y.'
DETAILEDDESCRIPTIONa�F WaRK k �i �
ft"19C.'lkdb rn.'+,;'i„rIg3T1' , tir;4�,,. r '. �"k°3iS'S�,lkte-
Hurricane Shutters.8 Accordion Shutters. C=
lirc�Pp,N5TRUCTIt1ORM
N INFATIdNy
ltiona wor to a er orme under this permit-c e.c K a . apply:
OHVAC Gas Tank ❑Gas Piping )Shutters ❑Windows/Doors
E—Generator
Electric Plumbing Sprinklers Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5900 UtilitiestSewer Septic Building Height:
SOVIIN ER jLESSEE ,. , �' k k , ,r-:CC)NTRACTOR , f
.6"
_ x
Name Mike Henderson c ;n +,a OeAchrSoYl Name:Mike Zanetti
Address: ``30c6 ULncn,WcM i,2Fr� Company:Mastereare Shutter Corp.
City: (M C. u State:EL Address:12980 South East Suzanne Drive
Zip Code: fLB�(7 Fax: City:Hobe Sound State:FL
Phone No. Y`1/Z— Zip Code: 33455 Fax:(772)545-3297
E-Mail: Phone No. (772)545-3300
Fill in fee simple Title Halder on next page(if different E-Mail: rci.-�.
from the Owner listed above) State or County License:'
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
5UPPLENIyENTAL CON5TRUCTIN LIEN LAW INFORMATION °- �
t.
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:
II certlfythat no work or installation has commenced prior to the issuance of a permit.
St.Lucie County mak e�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
tructure.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 lender or an attorney before
,com ci r recordiggyour Notice of Commen
Signature of Own r/Ag t/Less de Signature of ontract /Li ens Holder
STATE OF FLORI A �r STATE OF FLORIDA
'COUNTY OF Yv-x &2&._C�h, COUNTY OF
The forgoing Instrument was acknowledged before me The forgoing InstruMpnt wasacknowledged before me
this day oftA�O2a1 �—by this 12=.day of wL 2:E��V,28=IA by
(Name of o ac dging} (Name of per a no
Signature of Wtary Public-State of Florida) gnature of Notary Public-State of Florida}
Personally Known :''t �pdV d�'b'r��SI'I"#fin Personally Known Q�A�uced ld�1i no
oar u �c- a e o oriType of Identification rp u Type of Identification Pr. Nota Pubii MyComm.Expires Jul 15,2020 �'; CommissiocF;. -.�, oF� • MYCq�+p,F,lpCommission No. eonaedtl( �bnalNotaryAssn Commission No. Banaedtfiro
Revised 07/15/2014
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