HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3//1/17 Permit Number:,1
RECEIVED ;-AR 02 7917
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: 6 Florida Way, Port St Lucie, FI 34952
Legal Description: St Lucie Gardens 26 36 40 That Part of BLKS1 and 2 LYG ELY of US#1 as Shown In or 2389-720 Being
Lot 6 Florida Way(0.12 AC 5, 227 SF)(Or 3771-36)
Property Tax ID#: 3426-500-0347-000-6 Lot No.6
Site Plan Name: Geiger Block No. 1 &2
Project Name: Geiger
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be nertormed urider t ispermit–check all that apply:
❑ Gas Tank Gas Piping Shutters Windows Doors
HVAC
— ❑ p g ❑Windows/
Doors
❑ Plumbing ❑Sprinklers Generator Roof . Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$_ 50oo� Utilities:11SewerE]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Howard&Judith Geiger Name: Jeff Jackman
Address:6 Florida Way Company: Master Craft Aluminum Products
City: Port St Lucie State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 34952 Fax: City: Port St Lucie State:FI
Phone No.401-662-0519 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(c7r�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. II
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 r b rdihgyourNotice of Commencement.
QA�V/ N---" s
Si atu 0 ne�IL�esractor as Agent for Owner SCaePF
or se Holder
F F RSCOON St Lucie C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �c - , 20 4by this day of 14�e-c.- 20 by
(Name of person acknowledging) (Name of person acknowledging)
bv�/l to- - 4:�� io,
(Signature of Notary Publ c-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known�—OR Produced Identij) ati 8 _ Personally Known
on OR Produ d Ideq-4W t�Mpore
t
Type of Identification'Produced . Type of Identificat Produced RYPUBLIC
Commission No. s; ti STATE OF FLORiClCommission No. +STATE OF FLORIDA
FF942382
Camra FF942382 xn#
4
Expires 1115 Expires 1/15/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE rMAANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW _ REVIEW J REVIEW
DATE
COMPLETE
INITIALS