HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number:
RECEN,
Building Permit Application SEP 2 6 2016
Planning and Development Services
Building and Code Regulation Division LuciePERMITTINGunty,
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Shutter
;PROPQSED I'M PROVEM ENT LOCATION!
Address: 10200 S.Ocean Blvd. Apt.#201,Jensen Beach,FL 34957
Legal Description:ATLANTIS III BY THE SEA UNIT 201AND PRO-
PropertyTax ID#:4511-518-0009-000-4 Lot No.
Site Plan Name: Block No.
Project Name:Ron Sonbeek
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCRIPTION PF,WO r
Hurricane Shutters(3)Accordion shutters 'ate
WyEN REq� :)
Y
�CONSTRUCTIONINFORMATION. ^
Additional wor toa er orme under hispermit— ec a appy:
HVAC Ei Gas Tank FlGas Piping I I'llShutters ❑Windows/Doors
11Electric 0 nGenerator
Plumbing Sprinklers 0 Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1,390.00 Utilities: Sewer OSeptic Building Height:
�dUVNERjlFSSEE: w§ ;.CONTRACTOR
Name Ron Sonbeek Name:Mike Zanetti
Address: 10200 S.Ocean Blvd. Apt.#201 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. Zip Code: 33455 Fax:(772)545-3297
E-Mail: Phone No. (772)545-3300
Fill in fee simple Title Holder on next page(if different E-Mail:Mfetty(-,Mastercareshutter.com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting aSermit will authorize the�ermit holder to build the pubject s�ructure
which is in conflict with any applicable Home Owners Assoc ation rules,bylaws or an covenants that may restrict or pro ibit 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 posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commeAcing wodeoruecordin6ourlNotice o mmencement.
Signature of Owner/Agent/Lek V Signature Cont ctor/Li n -
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF
, tt AZ? i4
The forge ng Instrument w s acknowledged efore me The forgoing instr no ed efore me
this %.Vday of i' 20�by
this "ay of ,2 y
/ C ,,,,� oao,,`My c°�y pUbi�c hS0000
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Name of pe co dgi {Nam rson 1 ging ° es��i�1Sg2?add
(Si tura of .PubliFid �'a - pe {Signature of N ry Public-State of FI
Cpm liblic. Ok
Personally Known % uce4Y��s ate of Pe onally Known O roduced Identification
Type of Identification Produced ended/ f-V d,- of a of Identfficatio cad
°gl N o sem' T e
Commission No. {seal} NOjaiygssn ommission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS