HomeMy WebLinkAboutBuilding Permit Application (2) \ n
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: •Dl03y
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Building Permit Application
Planning and Development Services
e0ding and Code Regulation DivisionA� Q
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772)462-1553 Fax: (772)462-1578 Commercial Re§lde' �ntial (; x
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line shutter
PROPOSED IMPROVEMENT LOCATION: !
Addp@55; 38TaG ('aci tag Fort Pierce
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Spanish Lakes CCV Leasehold Estates 38 Las Casitas
Legal DeSCpIptlon:
�q®,�gyTax ID#: 1301-500-0757-000/3 ;r I Lot No.
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Site Plan Name: Block No.
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Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Install ten accordion shutters on home
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit–check a Mhapply:❑HVAC Gas Tank Gas Pi in Shutters ❑Windows/Doors
— ❑ Piping
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5,000.00 Utilities: ❑Sewe;r❑Septic j' Building Height:
OWNER/LESSEE: _ CONTRACTOR:`
Name. James Giordano Name: li Jeff/ Jackman
Address: 38 Las ca s i to s Company: Master Craf t Aluminum Prod.
cty:�o1:t p;prr•P State: FL Address: 1634, SE Niemeyer Cir.
Zip Code:34951 Fax: City: PSL ' State,FL
Phone No. 60,7,_27q_0404 Zip Co8e:34952 Fax:335-0$60 '
E-Mail: Phone No. 33,5-1177
Fill
ill fee simple Title Holder on next page(if different E-Mall: � 1
from the Owner listed above) i �p 1:11I1�QA1d 1
Coll
State or CountitiCenie,
If value of construction is$2500 or more a RECORDED Notice of Comm' cemelytirr,
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERjENGINEER: 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:, Not Applicable
,Name: Name:
Address: Address: ( ,I
City: City: 'I
Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit., j
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 iattorney before
commencing work or recording our Notice of Commencement.
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_ gn of 0 ner/Lessee gent Sign re Cont actor/License Holder
ST F RIDA STA FLORIDA
COUNTYOF St. Lucie COUNTY OF ISt. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_1_day of Mai 2013 by this 1 day of May 120 17 by
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Jeff Jackman Jeff Jackman
(Name of person acknowledging} (Name of person acknowledging}
!r(Signature of Notary Public-State of Florida) (Signature of NotaryiPubiic-State of Florida}
Moore :1 Si'teryl D.Moons,
Personally Known X OR Pr eVZ4�#JBLIG- Personally Known X OR Pro ii+fD'T1AIZlE
Type of Identification ProducedSIATE Type of Identification Produced SOA
. Z�FF942382
Commission No. e Commission No. i e,fires �asrlc�2o
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Revised 07/15/2014
REVIEWS FRONT• ZONING SUPERVISOR PLANS VEGETATION 1 SEA.T UR'!Lr MANGROVE �+y
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW - iI
DATE
COMPLETE
INITIALS
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