HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a a Permit Number: `4 a-13
44
nL RECEI'.� :J JL'i; 12 2016
A ;_
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 v
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential 1�
PERMIT APPLICATION FOR: Shutter
.PROPOSED I M.PROVEM ENT LOCATION:`
Address: 1312 Lancewood Terr,Palm City,FL 34990
Legal Description:HARBOUR RIDGE-PLAT 9-LANCEWOOD VILLAGE
Property Tax ID#:4426-804-0014-000-9 Lot No.
Site Plan Name: Block No.
Project Name:Dennis Daniels
Setbacks Front Back: RightSide: Left Side:
DETAILEQ QESCRIPTION t�F V1/ORK f
.. �;
Hurricane Shutters(3)Roll shutters(19)Accordions
CONMUCTION,INFORMATION
Acid itio nal wor to. e pertormed under this permit—checK all that appy:
HVAC _Gas Tank ❑Gas Piping I Shutters ❑Windows/Doors
11 Electric ❑ 1!_Plumbing Sprinklers _Generator 1:1Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 10,500.00 Utilities:0Sewer Septic Building Height:
.:OVOER/LESSEE CONTRACTCIR:
Name Dennis Daniels. Name:Mike Zanetti
Address: 1312 Lancewood Terr Company:Mastercare Shutter Corp.
City: Palm City State: FL Address:12980 South East Suzanne Drive
Zip Code: 34990 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(iDNlastercareshutter.com
from the Owner listed above) State or County License: adaSl
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 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 CountyAmendments.
Thefollowing building permit applications are exemptfrom 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 inspect6n. If you intend to obtain financing, consult with br an attorney before
commencing w o r cording our Notice of Commencement.
i
Signatu&of O rnerr/Aen't/Lessee Sign ure of/ont 6cto' Lic rise Holder
STATE OF FLORIDA STATE OF F�,�ORIDA
COUNTYOF / COUNTY�F
The forgoing in(trument was acknowledged before me The forgoi �jnstrument was acknowledged before me
this day of 20=by this ;ay of ,20_ by
(Name of person acknowledging) (Name of person acknowledging}
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission 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