HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED `OR APPLICATION TO BE ACCEPTED [r)
Date:u �� SCANNED Permit Number: �j�' I,, CQ�
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Building Permit Application
Planning and Development Services
Quilding and Code Regulation Division
2300 Vrginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential_
Address: 7410 S. Ocean Blvd Apt. #308-D, Jensen Beach, FL 34957
Property Tax ID#: *3Sd)-&DS Dols-600-7 Lot No.
Site Plan Name: Block No.
Project Name: Jim Ressler
DETAILED`DESCRIPTION OF WORK:
Hurricane Shutters (1) Accordion
CQNSTRUC710N INFORMATION:
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: $ 2200.00 Utilities: --Sewer _Septic Building Height:
AWNER/LESSEE: °:
CONTRACTOR:
NameJim Ressler
Name: Mike Zanetti
Address: ]/�/D St mw
Company: Mastercare Shutter Corp.
City: J4F4 & 3€l7-eK State: F7
Zip Code: 3H9J 7 Fax:
Phone No.
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:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailMfetty@Mastereareshutter.com
State or County License
R value °. consiructnon is >t:)uu or more, a nti.unutu Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/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:
OWNEK/ 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 permf.
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 orand 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
P05M ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y INTE TO OBTAIN FINANCING, CONSULT
,WVTH YOUR LE,NDEROPLAN ATTORNEY BEFORE RECORDING' (YObk NOTICE OF OMMENCFMFNT "
Signatu of O ner/ Le ee/ ntrAtor s Agent for Owner
Sign ture of Cont ctor/Lic ns , Holdfir
STATE OF FLORID II
OF �I�e
STATE OF ORID
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The f r oing instrument w acknowledged �]efore me
this0dayof_�� 20 �'7by
The f,ggr��IIoing instrument was acknowledged before me
thisY�Y"fdayo� : 2014 by
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Mike z�77Atof �� ---
Name of person making statement.
Name of person making sta ement.
Personally Known —�R Produced Identification _—_
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary P tjlj ' 0., fEirydiW)c-Rate of Florida
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ignature of Not ry Public-S t, afJotary Public - Rate of Florida
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REVIEWS
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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