HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��- 1. Permit Number: a\6% da13
u�c LL���� RECEIVED
;CL� " ;} �; AUG 0 2 2021
Building Permit Application St."Icie County
Planning and Development Services Permitting
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: e,,,1fv —Co�n�►d
PROPpSEDrIfIUIPROVEII/IENT:L(7CATlON �
Address: 10200 S Ocean Dr#402,Jensen Beach,FL 34957
Property Tax ID#:4511-518-0030-000-0 Lot No.
Site Plan Name: Block No.
Project Name:Leslie Pascale
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DETAIEED�DESCRIPTIOIVOF ORK` i z x tE
,r 4
Hurricane Shutters.3 Accordions.
New Electrical Meter Second Electrical Meter
COiVSTRUCTION INFORiUI`ATI.ON ,`; ,Vt�r`"',; �-
.K.r.."tiP, rr�:x,.r, Ex, '�.�"� •+ r ..:��.�4 »uh�,_ �
Additional work to be performed under this permit-check all that apply:
_-_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 86.3 __ _ Sq. Ft. of First Floor:
Cost of Construction: $ 1400 Utilities: _Sewer —Septic Building Height:
�Jr';,.'► C. f :r },..,,�, s. -.�,+�r " d-. �i �.il," a.fir� t. { $
OVIrNLR I_E55EE vStYF�" l t`d lit P $}r Cl x g,tL CO $R I {xsCi r ji z c., 4 t Fa
NTRACTOR
N a meLeslie Pascale N a me.Mike Zanetti
Address:10200 S Ocean Dr#402 Company:Mastercare Shutter Corp.
City: Jensen Beach __State:FL Address:12980 South East Suzanne Drive
Zip Code: 34957 Fax: City: Hobe Sound State:FL
Phone No.609-29070040 Zip Code:33455 _ Fax:(772)545-3297
E-Mail:beachview@comcast.net Phone No(772)545-3300
Fill in fee simple Title Holder on next page(if different E-MailMfetty@Mastereareshutter.com
from the Owner listed above) State or County License
If value of construction is 2-500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-CONSTRUCTibN LIEN LAW 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:
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 priorto 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 paying twicefor
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspec ' n. If you intend to obtain financing, consult
witMenderoran attorney before commencingwork or recor i our ce o Commen em nt.
Sig ature o w er/Lesse Con ct Agent for Owner Sign ure of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF_ ACr — —�--
Sw �n to(or affirmed)and subscribed before me of Swo#n to(or affirmed)and subscribed before me of
_WJ Physical Pre nce or Online Notarization �Pqhysical Prese ce,or Online Notarization
this day of —_,202� by this, day ofL� ,202I� by
KA �ZAPN24t\ rt�4 Yzp �Q n9�Tt?(•
Name of person making
tement. Name of person making statement.
P p g
Personally Know Produced Identification_-- Personally Known ,/ OR Produced Identification_--_
Type of Iden . c I Type of Identifi n
Produce Produced
{Siondture of otary Public- a'.Af` dpd�c0mMlSSloNkHH020560 �Vommisslon
gnature N lic-Stat .�!T .;qda) MITCH60CooK
EXPIRES:Jul 25,2024 J= :,=_ My COMidISS10N�HH 020560
Commission No. "� y "' f IRES:July25,2024
Foci° firu Notary Public Underwrite .,� ;`.� �
9••...•• NO. Foe; Notary Public underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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