HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INF M T BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
1
Date: I Permit Number:
Building Permit Application
Planning and Development Services
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
RROPOSED-IMPROVEMENT LOCATION:,
Address: 1 Villa Blanca, Ft Pierce, FI 34951
Legal Description: Spanish Lakes CountryClub Village Leasehold Estates (OR 2389-639)That Part of SEC As
Shown In OR 2389-639 Being Lot 1 Villa Blanca (0.16 AC-6970 SF)(OR 3939-1075)
Property Tax ID#: 1301-500-1170-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK;'.
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CONSTRUCTION INFORMATION
Additional work toe e orme under this permit—check a appy:
❑HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTDR
Name Paul&Kathleen Manley Name: Jeff Jackman
Address: 1 Villa Blanca Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:FI
Phone No.413-896-5869 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC131150586 —_
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENTALCONSTRUCTION`LIEN.LAW INFORMATION
DESIGNER/ENGINEER: XX Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 thepermit 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 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
commencing work or recording our Notice of Commencement.
s
Sig ure a/Less a/Contractor as Agent for Owner Sign re racto License Holder
STATE O ORI D STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StwGe
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this & day of o 2017-by this-te—day of 204L_by
(Name of person acknowledging) (Name of person acknowledging)
4�0. - t,0
(Signature of Notary Public-State of Florida) (Signature of Notar ublic-State of Florida)
Personally Known —OR Prod nt �r�g Personally Known OR Produced Identification
Type of Identification Produced NOTARYP�C Type of tific c
STATE OF FLORIDNOTARY PUBLIC
Commission No. _ )Commf#FF942382 Co STATE OF FLORIDA (Seal) '
Expires 4/1 lwal I CWwa FF942382
Ili Isr
Revised 07/15/2014
- -I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW J
DATE —
COMPLETE _---
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