HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO
�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� �(7V i 0 SCANNED Permit Number:BY
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Building Permit Application °erI'S
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Planning and Development Services S /tbn9 p �B
Building and Code Regulation Division <ucie 0apdnm�
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
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Address: 10680 S Ocean Dr Apt 502, Jensen Beach, FL 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 502 AND UN
Property Tax ID #:4511-516-0049-000-0
Site Plan Name:
Project Name: Sheila Wilson
Setbacks Front Back:
[DETAILED DESCRIPTION OF WORK: '
Hurricane Shutters. 1 Accordion Shutter.
11CQNSTRUCTION INFORMATION:
RlghtSide: Left Side:
Lot No.
Block No.
r�uuuiuum vrwM1w ua euw meu uuurn um penal.—u�c�n m;P—Generator
apply; L
❑HVAC _Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric Plumbing ❑klers SprinRoof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2300 Utilities. Septic Building Height:
OWNER/LESSEEi- ` "''
CONTRACTOR:
Name Sheila Wilson
Name: Mike Zanetti
Address: 10680 S Ocean Dr Apt 502
Company: Mastercare Shutter Corp.
City- Jensen Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 516-662-3676
Address:12980 South East Suzanne Drive
City: Hobe Sound State:FL
Zip Code: 33455 Fax: (772) 545-3297
Phone No. (772) 545-3300
E-Mall: Piksales@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall: MfettypMastercareshutter.com
State or County License: f� I
v
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
:e the permit holder to build the subject ssttructure
or and covenantsthat may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
of 0%knerfAeedt/ Lessee
STATE OF FL
COUNTY OF
The forgoing instrument was acknowledged before me
this -t—E day of _T>y_c _ 20 _19_ by
v
Personally Known "i;P.ro uced I�j @gjpn
Type of Identification P a *. Nota Public -State of Florida
'•;'.•; Commission i GG 015422
' " =MYC i� .. ires1u125,2020
Commission No. ��, a cee4ato��atio a Na ary Assn.
Revised 07/15/2014
Of
STATE OF FLORIDAPT //�
COUNTYOF�LcJ c.+'f
The fo oing instrument was acknowledged before me
this day of 27y , 20_1@ by
Personally Known �LOR ro,
Type of Identification Produce . H�CO� _
Commission No.
Commission#GG
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