HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �OD�I
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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
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PERMIT TYPE:
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PROPOSED IIVIPROVEIVIENT`LOCATION #
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Address: 8949 Champions Way, Saint Lucie West,FL 34986
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Property Tax ID#:3334-501-0038-000-8 Lot NoZ4
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Site Plan Name: Block No.A I
Project Name: Jacklyn Holfelder j
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DETAILED DESCRIPTION OF WORK
Hurricane Shutters. 10 Accordions.
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CONSTRUCTIG3 tNEOkRMATtON f
N i s
Additional workto be performed underthispermit—checkallthatapply: i
_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:$6800 _ Utilities: _Sewer _Septic Building Fleight:
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OWNER/LESS'EE r RACTO'R
CONT
NameJacklyn Holfelder Name:Mike Zanetti
Address:8949 Champions Way _ Company:-Mastercare Shutter Corp.
'City: Saint Lucie West _State:FL Address:12980 South East Suzanne Drive
Zip Code: 34986 Fax: _ City:Hobe Sound _State:FL
Phone No.772-579-3061 _ Zip Code: 33455 Fax: (772) 545-3297
E-Mail:jackieah40@gmail.com _ Phone No (772) 545-3300
Fill in fee simple Title Holder on next page{if different E-MailMfetty@Mastercareshutter.com from the Owner listed above) State or County License 4_
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: Add ress: j
City: State: City: State:
Zip: Phone' Zip: Phone: j
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Ad d ress: Address:
City: City:
Zip: Phone: Zip: Phone: j
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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 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 l RECORDEDI AND
POSTED ON THE JOB SITE BEF E THE FIRST INSPECTION. IF YOU INTEND T OBTAIN I NCING, CONSULT
WIT YOUR LENDER OR ATT RNEY BEFORE RECORDING YOVP NOTICE CO ENCEMEN n
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Signa ure of Owner/Less t
e/Con ctor as Agent for Owner Signature of Contractor/Licens der
STATE OF FLORIDA STATE OF FLORIn_LNI_� _
COUNTY OF�All�Y\ COUNTY OF ------_
The forgoing instru ent as acknowledged before me The forgoing instru nt is acknowledged before me
thisZ�_day of_� ---,20Z,o by this day of —_ 20 by
I __ MI —
Name of person making atement. Name of person makin statement.
n —Personally Know OR Produced Identification_-- Personally Known —OR Produced Identification_I _
Type of Identificatio Type of Identification
Produced— ---__— Produced-- ------_
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{Signature of Notar i - t t f IIo d yy (Signature of Nota i atphen�
.�� Notary P.9rc w d Florida g
Jill? Rebecca E Stephens ' My Commission GG 958846
Commission No.— ' -_C Mycommi i@fARG958848 Commission No. E�Pi 02/1���
or a Expires 02/16/20¢z4 —
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER : REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW]
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19
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