HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �5 Permit Numb....
REECE v L
MAR 1 b 2019
Building Permit Application sT. L•taglo Q?untyr Pgrmlc_ting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Shutter
PROPOSED INlPRO11EMENT LOCATIQNy'.� gt x
a
Address: 5000 Indrio Rd Fort Pierce FL 34951
Legal Description: 18 34 40 SW 1/4 OF SE 1/4 OF SE 1/4 OF N
Property Tax ID#:1418-244-0025-000-7 Lot No.
Site Plan Name: Block No.
Project Name:Ron&Lisa Herman
Setbacks Front Back: Right Side: Left Side:
DE fAILEDk DE5CR1PTIO OF WORK
i fl L d t,Jn
Hurricane Shutters(10)panels (9) Grommet Screens
CON5TRUCTION 1,F-01
s
AdClitional wor to De performed under this permit—c ec a app y:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric EJ Plumbing Sprinklers _Generator Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
750.00
Cost of Construction:$ 6,750.00 Utilities: Sewer Eleptic Building Height: ( rJ
01111NER%LESSEE CONTRACTOR
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Name Ron&Lisa Herman Name:Mike Zanetti
Address. 5000 Ingrio Rd Company:Mastercare Shutter Corp.
City: Fort Pierce State: FL Address:12980 South East Suzanne Drive
Zip Code: 34951 Fax: City:Hobe SoundState-FL
Phone No. 772-370-7489 Zip Code: 33455 Fax:(772) 545-3297
E-Mail: ronhermanelectricgeomeast.net Phone No. (772) 545-3300
Fill in fee simple Title Holder on next page( if different E-Mail:Mfetty(a,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.
SUPPLEMENTAL CONSTRUCTION LIEN,LAIN 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 you intend to obtain financing,consult with lender or an attorney before
commencing wor rec Ong VoQr Notice of Commencemqpt.
Signature of owner/Agent/Lolsee Signature of Contract /License Ider
STATE OF FLORID STATE OF FLORID
COUNTY OF_ � �� COUNTY OF ( ,r-��(�
The forgoing instrument wa acknowledged before me The forgoing instrument wqs acknowledged before me
thiis� " day of .,r 20 A by this jq__day of /�O�rc (,� ,20_&by
Y \ l C tiA ey aL IN I C V4 Vtem All C- "T l
{Name of person acknowled i °P� JENNIFER MARTINEZ (N me of person acknowledging} �m��,�
ovxr��°G JENNIFER MARTINEZ
MY COMMISSION#FF902867 ?� :� MY COMMISSION#FF902867
EXPIRES:JUL 23,2019
F EXPIRES:JUL 23,2019
Bonded through 1st State Insurance Bonded through 1st State Insur ce
{ i n ture of Notary Public-State lorida} {Vgn t'reof Notary Public- a e f F or a
Pe sonally Known�OR Pro ced Identification Pally Known OR duced Identification
Type of Identification Produced Type of Identification Produced
Commission No. {Seal} Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS