HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r Permit Number: ��`���
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PRaPOSED;IMPROUEIVIENT LOCATION
Address: 10851 S. Ocean Blvd Lot#17,Jensen Beach,FL 34957
Property Tax ID#: yJ�/�' Ol� i7�ol ' Lot No.
Site Plan Name: Block No.
Project Name:Robert Padovano
D ETAI
LED DESCRI PTI 0 M DF WORK
Hurricane Shutters (12) Accordions (5)Panels (l)Roll shutter
CONSTRUCTIONINi=ORM ATION
Additional work to be performed -underthis permit—check allthat apply:
_Mechanical _Gas Tank —Gas Piping Shutters _Windows/Doors
—Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: _ _– Sq. Ft. of First Floor:
Cost of Construction:$5000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
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NameRobert Padovano Name:Mike Zanetti
Add ress:10851 S. Ocean Blvd Lot#17 Company:Mastercare Shutter Corp`
State:tate:
Jensen Beach Address:
FL 12980 South East Suzanne Drive
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Zip Code:34957 Fax: City:Hobe Sound State:FL
Phone No; Zip Code:33455 Fax: (772) 545-3297
lE-Mail: Phone No (772) 545-3300
Fill in fee simple Title Holder on next page(if different E-MailMfettygMastercaresshutter.com w __
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL.CONSTRUCTION LIEN:LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable;
Name: Name:
Add ress: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
I FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
l City: City:
3 Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 holderto 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
"WARNINC 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 JOB SITE BEFORE THE FIRST IINSPIPaQN. IF YOU INTEND TO OBTAIN FINANCINC, CONSULT
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WITH YOUR LENDER OR AN ATTORNEY BEFORE R RDINC YO CE OF CO M CEMENT."
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e Signat re of ow/e see Contractor as Agent for Owner � Signature of C trct r/Li ense Holder
STATE OF FLORIDASTATE OF FLOC
COUNTY OF �7&J A& est ut-k COUNTY OF a_Ln,
The forgoing instrument t,as acknowledge before me The forgoing instrument t+as acknowledged before me
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thisday of 20 by this2ti day of 0c 20_�J by
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j Name of person making tement. Name of person making s tement.
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Personally Known OR Produced Identification Personally Known OR Produced Ide tif' a 'o
Type of Identification Type of Identification MITCHBOCOOK
Produced _ MITCHBOCOOK Produced____ ;`o� �i`:
—,m---- flfotacy Public-State of Florida
Y P Notary Public-State of Florida = + Commission#GG 015422
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• Commission#GG 01542 / Comm,Expires Jul 25,2020
Comm.Expires Jul 25,2020
° u hNati nal NotaryauqhNational Notary Assn.
( (Sig a e of Not is sY" ( nat . of Not r P - lorida }
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Commission No. (Seal} Commission No.______ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
i DATE
COMPLETED
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