HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE PFO fALIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�� l� °/ Permit Number: 1
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 x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT.LOCATION:
Address: 237 Easy Street, Ft Pierce, FI 34982
Legal Description: Indian River Estates-Unit-03-BLK 14 Lots 24,25 and 26(MAP 34/10S)(1.21 AC)(OR 315-585;2992-2955)
Property Tax ID#: 3402-604-0024-000-1 Lot No.24,25,26
Site Plan Name: Indian River Estates Block No. 14
Project Name: Rule
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF'WORK:
�/IS�1�N'?�► 1�f17L GCGUrY�i✓.� S6,0er-S oRoc( +-o 'x6_mc, sbuko u(I6 ��S. ��•lC�
GGC,OfGlwn �,�u�-FCr� Gfuvn S'�irs
,CONSTRUCTION INFORMATION,,
Additional work toe e orme under this permit—check a that appy:
HVAC F1 Gas Tank ❑Gas Piping ❑Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5700.00 Utilities: Sewer Septic Building Height: _
0-.NER/LESSEE: ,' " 'CONTRACTOR:
Name Robert Rule Name: Jeff Jackman
Address:237 E Easy St Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie —State:FI
Phone No.772-979-1063 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.
SUPPLEMENTAL CONSTRUCTION LIEN' LAW INFORMATION:
DESIGNER/ENGINEER: X 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
Signatur /Les t9
ntractor as Agent for Owner Sign cto-r7[ic'ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFA COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this V day of 20 (-4by this_L_day of 20 �by
(Name of person acknowledging) (Name of person acknowledging)
L�4�4. 0'
(Signature of Notary Public-State of Florida) (Signature of Notary lic-State of Florida)
J StwA D.Mose
Personally Known OR Produc ic,4& 1,1 Personally Known OR Pro Ide$tW0QoM0"
Type of Identification Produced 0Ape of Identification Produced NOTARY PUBLIC
STATE OF FLORI
Commission No. Cort�t# DA
mmission No. FF942382
empires 111 1/15/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS