HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:.
Buildi.ng Permit Application JUN 0 8
Planning and Development Services FE6'';TH171'.G
Building and Code Regulation Division St. Lucie C;CUnIty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 54 San Luis Obispo Fort Pierce
Legal Description: Spanish Lakes CCV Leasehold Estates Lot 54 San Luis Obispo
PropertyTax ID#: 1301-500-0981 —000/2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install nine accordion shutters
CONSTRUCTION INFORMATION:
Additional work to be erformed under tis permit—check a fhapply:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5, 600.00 Utilities: Sewer D Septic Building Height:
OWNER/LESSEE: . CONTRACTOR:
Name Cath Prine RngPA Name:.1,_f f Eckman
Address:54 San Luis Obispo Company:Master Craft Aluminum Prod.
City: Fort Pierce State: FL Address:1634 SE Niemeyer Cir.
zip code4951 Fax: city: Port St. Lucie StateFL
Phone No. 466-2047 Zip Code34952 Fax: 335-0860
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page(if different E-Mail:iAaGtr-rr-raft;a1 L1m1 num@cxmaJ 1 _corn__
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.
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`s!.PPLEM-.ENTAL CONSTRUCTION LIEN LAW INFORMATION:
IDESIGNER/ENGINEER: -� xPP
_Not Applicable MORTGAGE COMPANY: Not Applicable
I I �..
Blame: Name:
tl Address: Address:
I City:_ State: City: State:
ZIp: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: 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 grantipg 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 ourproperty. A Notice of Commencement must be recorded and posted on the 'obsite
P Y P 1
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 re f er/ ee/Agent Sign re C ntractor icense Holder
isTAT O LO I A ST F O
COUN St. Lucie COUN " F St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 17 day of May 20 Eby this-1-7-day of May20'_1_7_by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blic-State of Florida) (Signature of NotaryPub icl State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
ell D.Made Shell D. +e Moa
Commission No. NShO�f�PUBLIC Commissio I1BLIC (Seal)
STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 • F..�cptt�s 1!'1512020 EOreS 1/1512020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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