HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Jb "Zo�Q& Permit Number: �c44. >
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Building Permit Applicatl T. Lucie County, Permitting
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
PERM IT TYPE: S�v � �
,FROPOSED.IIVIPROVEMENT LOCATION
Address: 9650 S Ocean Dr#1502,Jensen Beach,FL 34957
Property Tax ID#:4502-610-0132-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Jessica Gonzalez
f
t7ETAILEDDESCRIPTION OF W{)RK4
l %
Hurricane Shutters.3 Accordions.
CONSTRUCTI{3N INFORMATION: 4
Additional workto be performed underthispermit—checkallthatapply:
_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:$3700 Utilities: —Sewer _Septic Building Height:
QWNER/LESSEE CONTRACTOR
,, Y . ..::. ..,... Y 3 "'
NameJessica Gonzalez Name: Mike Zanetti
Address:9650 S Ocean Dr#1502 Company:Mastercare Shutter Corp.
City: Jensen Beach State:FL Address:12980 South East Suzanne Drive
Zip Code: 34957 Fax: City:Dobe Sound State:FL
Phone No.772-240-6466 Zip Code: 33455 Fax: (772)545-3297
E-Mail:teamgonzalez@watsonrealtycorp.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_
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.
SUPPLEMENTAL.GONSTRUCTION LI,N,LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Ad d cess: Address:
City: City:
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 covenantsthat 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 JOB 5111"EFORV THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN NANCINC, CONSULT
WITH YOUR LEND A TTO EY BEFORE RECORDING YOUR NOTIC F NC ENT:°
r
Signature of Owner/ ess a/Contracto gent for Owner Signature of Contriieto License Holder
STATE OF FLORIDJ.'..," STATE OF FLORIDA
COUNTY OF �V�O-r1� COUNTY OF.
The forgoing instrumenjwas acknowledged before me The forgoing instrumen was acknowledged before me
this Z day of_ 4C�----,20M by this'L day of ---_,20ZZ by
Name of person making tatement. Name o person making atement.
Personally Known_--OR Produced Identification_-- Personally Known_ —OR Produced Identification---
Type of Identification Type of Identification
Produced --_---- Produced----
Notary Public State of Florida
Rebecca E Stephens
Public State of Florida _ e
(Signature of Notary i 84ep�€pteD ns (Signature of Notary P li - t�fe o � 24
My Commiaawn GG 958848
OF Expires 0?J16I2024
Commission No._ Commission No.------ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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