HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-_ RECEIVED
r ;tS p � C[I
Building Permit Application
Planning and Development Services S# Perrmitttiingnty
Building and Code Regulation Division Commercial Y Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
FROP{)SED IM,PRO1/EM,ENT;LOCATI{�N
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION
Additional work to be performed under this permit —check all that apply:
Mechanical ^ Gas Tank —Gas Piping ✓hutters
_ Electric — Plumbing _Sprinklers
Total Sq. Ft of Construction: 177.4
Cost of Construction: $ 3,800.00
(Affidavit required)
Generator
_ Windows/Doors � Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height: 70
OWNER/LESSEE
..
CONTRACTOR
Name Richard Wells
Name: Mike Zanetti
Address: 10200 S Ocean Dr #203
Company: Mastereare Shutter Corp.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.815-867-3444
Address:12980 South East Suzanne Drive
City: Hobe Sound State:FL
Zip Code: 33455 Fax: (772) 545-3297
Phone No (772) 545-3300
E-Mail: wellsrich67@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Mfetty@Mastercareshutter.com
State or County License
If value of construction is 2500 or more. a RECORDED Notice of Commencement is reauired.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
A- -
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:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zi p: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT; Application is hereby made to obtain a permit to clothe work and installation as indicated.
I certifythat 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 twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luc' County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wi ender attorney b9fore commencing work or recording our Notice of Commencement.
Si ature of Owner/ Less t/Cractors Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) a d subscribed before me of Physical Presence or___ Online Notarization
this � day of _ ___, 20,1A by
MO�
Name of person makin statement.
Personally K own_ OR Produced Identification
Type of I tification Produced__________
(Signature of Notary Public- State of Florida }
lic StateolFlorida
Commission No.(Seal}RE-
E Stephens
ssion GG 958848
/16/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev5/20/21