HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V
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: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 6040 Indrio Rd,Apt T-1, Ft Pierce, FI 34951
Legal Description: Indian Pines Village-Bldg Unit 1 and Pro-Rata Share in Common Elements (OR 642-630;3713-1739)
Property Tax ID#: 1313-501-0143-000-6 Lot No.
Site Plan Name: Indian Pines Village Block No.
Project Name: Lloyd
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION OF WORK::'
w I a1 LW S ( Ihf ck
CONSTRU.GTION_INFORMATION: .
Additionalwork toe nertormed under this permit—check all t a appy:
HVAC Gas Tank 0Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3200.00 Utilities:Sewer El Septic Building Height:
bV1/NER/LESSEE CONTRACTOR:
Name Robert Lloyd Name: Jeff Jackman
Address:6040 Indrio Rd Apt T-1 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.301-331-7504 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
I If valua*of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPL'EMENTAL�CONSTRUCTION LIEN LAW INFORMATION: ;
DESIGNER/ENGINEER; _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 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 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
Signa e O e /Less /Contractor as Agent for Owner S=rC��' ctor/Lice se Holder
ST E ORID , SRIDA
COUNTY OF S�, f✓(4e;-P_ COUNTY OF S9-1 Cuu e.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-b— day of t , 20 j� -by this_day of 20 by
SGzz-��
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of FIPSW D.Moore (Signature of Notary P lic-State of Florida)
NOTARY POMC
Personally Known_y� ��+roiw� Personally Known r�UBLICtion
Type of Identification Prod Type of Identificatio
v15020 N01^1cwr DA
Commission No. al� Commission No. CMEW
ares
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS