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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Cs, Permit Number:_ 11 d1- d3LLIS
o _
�ECEIVED
Building Permit Application SEP 1 2 2018
Planning and Development Services (;. Lucie County, Permitting and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED,I M PROVEM ENT LOCATION:
Address: 9308 Scarborough ft,Port St Lucie,FL 34986
Legal Description:.__[MWF- "A . ye_ '_ FRx&2l UaH ATt-}7FS AD(If
Property Tax ID i#: � S�©-7 - 0 D (q - 0 4 0 -Q _ Lot No. t!`
Site Plan Name: Block No. -
Project Name:Roger Wendell
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCRIPTION OF WORK:
hurricane Shutters(2)Accordions
CONSTRUCTION INFORMATION:;
Additional work to be aertormed under this permit-check all Mat appy:
❑HVAC Gas Tank Gas Piping „Shutters Windows/Doors
LJ Electric ❑Plumbing []Sprinklers ❑Generator Roof
Total Sq.rt of Construction: So.Ft.of First Floor:
Cost'of Construction:$r_��/ p.47� Utilities: RSeptic Building Height:
OWNER/LESSEE; CONTRACTOR
Name Roger Wendell Name:Mike Zanetti
Address: 9308 Scarborough Ct Company:Mastereare Shutter Corp.
City: Port St Lucie State: FL, Address:12980 South East Suzanne Drive
Zip Code: 34986 Fax: City-Robe Sound State:FL
Phone No. 772-2524356 Zip Code:33455 Fax:(772)545-3297
E-Mail: Go77ard44,@aol.com aol.com Phone No. (772)545-3300
Fill in fee simple Title Holder on next page(if different E-Mail:Mfeth C)Mastercareshutter.com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAlCUNSTRUCTICIN'LIEN LAV1! INFC)RMAT10'N:`` ,
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 au 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,consult with lender or an attorney before
comrAencing work recoj;ding your Notice of Comment
Signature of Owner/Agent/Lessee Signature of Cana r Licen a Holder
STATE OF FLORIDA, STATE OF FLORIDA
COUNTY OF O� COUNTYOF 1 ,tibia..
The forgoing instrumgnt was acknowledges-before me The forgoing instrument wacknowledged before me
this day of herfeM)We 20� ; by this_11.eday of—:ss 20�by
�mo A, &ei"i
(Name of person acknowledging} (Name of,perso ac now dg'i g}
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(Signature of Notary Public-State of Florida} (Si n ure ofNotary P ic-St too rlda)
Personally Known OR Produced identification rsonaliy Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
o. pgqoCommission N , Cmmissi n NOK�; }� 4
{°' C4r►jnliSSiQ!!#GG 24891 Z`: Notary Public-State of Florida
Commission 9 GG 015422
a F :v A` MyComm.Expires Jul 25,2020
''•',;�brs�?r god.4,ThNTroyFeutMSuranCo$00385.7019 .,,�����,
Bonded through National Notary Assn.
Revised 0?/15/2014
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DATE
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INITIALS