HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I IFO MtJST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 I Permit Number:
Building Permit Application
Planning and DevefopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Shutter
PR0F0$ED�INIPROVEIVIENT,;LOCATI`ON•
Address: 7400 South Ocean Dr. Ant.#E-404,Jensen Beach,FL 34957
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 4
Property Tax ID#:3522-606-0015-000-0 Lot No.
Site Plan Name: Block No.
Project Name:Marie Gladish
Setbacks Front Back: Right Side: Left Side:
C1ETAlL D DESCRIPTION 0f,WORK
A
Hurricane Shutters(3 Accordion sections)
CONSTRUCTION INPORMATIDN,. w'x,
Mona wor to a er orme under tis permit—chec all that appy:
HVAC Gas Tank ❑Gas Piping I AQMenerator
Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 0 Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 5,100.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE _� ^ CONTRA`C7"OR
}_
^£
Name Marie Gladish Name:Mike Zanetti
Address: 7400 South Ocean Dr. Apt.#E-404 Company:Mastercare Shutter Corp.
City. Jensen Beach State: FL Address:12980 South East Suzanne Drive
Zip Code:,3495 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:Mfet 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/EN 61 NEER: _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 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%&nth 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 tom�-obtain financing, consult with lender or an ttorney before
commencing work or recording our dtice of Commencement.
V
Signature of Owner/Agen Lessee Signature of Contractor/Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instryment was acknowledged before me The forgoing instrument was acknowledged Before me
�
this2dayof /` ov',G 64- 20 by this 7dayof �61/- ��,20_jApby
11`1 ,C.kA f- I Z-k' q-e-+-+
(Name of person ac ledging) (Name of perso owledging)
(Signature of otary Public-State of Florida) (Signat.. 4 of Notary Public-State of Florida}
Personally Known OR'Produced Identification X Personally Known OR Produced Id ation S�
Type of Identification Pro — Type of Identifi ROBd
ROB RTLLENSON Myr colssloN n
Commission No. MNc ION#G(MIS Commission No 11>z»a
Lim
ENMES:septwber fl,2020 o.a
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS