HomeMy WebLinkAboutBuilding Permit Application=0---1 IKL-►a
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9.23 Permit Number:/}vim
.1j L SEP 2 3 2021
Building Permit Application st. Permitting
Perm
Planning and Development Services
Building and Code Regulation Division Commercial
Cial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROP05ED IMPROVEMENT TQX-11
Address: 10200 S Ocean Dr #PH-1, Jensen Beach, FL 34957
Residential k
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCT"]OR INFORMATION
Additional work to be performed under this permit —check all that apply:
,Mechanical ® Gas Tank —Gas Piping ✓hutters Windows/Doors ® Pond
_ Electric —Plumbing
Total Sq. Ft of Construction: 124.7
Cost of Construction: $ 2656.00
Sprinklers —Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
{OWNER/LESSEE �,
CONTRACTOR
NameLarry Hendrichsen
Name: Mike Zanetti
Address: 10200 S Ocean Dr #PH-1
Company: Mastereare Shutter Corp.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.319-759-8071
Ad6ress:12980 South East Suzanne Drive
City: Hobe Sound State FL
Zip Code: 33455 Fax: (772) 545-3297
Phone No (772) 545-3300
E-Mail: larrylhen@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Mfetty@Mastereareshutter.com
State or County License
If value of construction is 2500 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.
UESIUNER/ENGINEER: Not Applicable
Name:
Add ress:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: w Not Applicable
Name:
Add ress:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: �NotApplicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucigg County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
witliilender ol.ffri"aMarnev beforq commencigg work or recording vour Notice of Commencement.
SignIture of Owner/ Lessee/lo ntraL`C6-r—as'Agent for Owner
STATE OF FLORIDA
COUNTY OF ,&u"
Sworn to {or affirmed} and subscribed before me of V Physical Presence or Online Notarization
this 1,6 day of _ , 20YA_ by
Name of person making statement.
Personally Known --\Z— OR Produced Identification
Type of Identification Produced__________
{Signature of Notary Public- State of Florida }
Commission No. Se 4P_tjt� Notary Public State of Florida
Rebecca E Stephens
g < My Commission GG 956848
OF Expires 02/16/2024
REVIEWS I FRONT ONING COUN ER I REVIEW I SUPERVISOR REVIEW I REVIEW PLANS I VEGETATION EVIEWI S REVEWLE I MREV EWVC
RECEIVED
DATE
COMPLETED