HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
1122
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Buildi.ng Permit Application
JUS �' 19 201?
Planning and Development Services
Building and Code Regulation Division PER1,,':4lTTi,NG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie COUnty, FL
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: 152 Mediterranean Blvd North PSL
Legal Description: St2 Lucie Gardens 26 36 40 that part of Blks 1 & 2 lyg ELY
of US One being 'Lot 152 Mediterranean North
Property Tax ID#: 1496-500-1057-00013 Lot No.
Site Plan Name: Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK.-
Install
ORK:Install eight accordion shutters
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under this permit—check all h apply:
HVAC 0 Gas Tank Gas Piping IIXShutters Q Windows/Doors
Electric El Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3,700.00 Utilities: Sewer Septic Building Height:—
OWNER/LESSEE: CONTRACTOR:
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Name Gerard Murphy _ Name: Jeff Jackman —
Address: 152 Mediterranean Blvd. N Company. Master Craft Aluminum_—
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City:_— Port St. Lucie State:F_L_ ' Address: 1634 SE Niemeyer Circle
Zip Code:34952 Fax: — city: Port St. Lucie — Sta EEL_
_
Phone No. _ Zi Code: Fax: _
8J.9_1aB _ p 34952 335
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-Mail: Phone No. 335-1 .77
Fill in fee simple Title Holder on next page (if different i E-Mail: mastercraf taluminum@gail.c.om
I!i fl,orr..:.e Owner listed above) I State or County Lice nse:SCC131_Lao.58.6._—_.--___ ._.
IE 4 viilue of construction is$2.500 or more,a?ECQRDED Notice of Commencement is required. j
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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 Coun.ty.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.
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_Signature of 0 er/ e s /Age t Signa e n ract nse older
STATE OF FLORI STA O A
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 17 day of May 20 11/y this 17 day of May 20 17 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
"d) - 9 6
(Signature of Nota ublic-State of Florida) (Signature of Nota%Public-State of Florida)
Personally Known x OR Prc8W&m9t0dMQf144Eation Personally.Known X OR Produced Identification
Type of Identification P YPUBUC Type of Identification Produced _
STATE OF FLOR StWA D.Moore
Commission No. 2382 Commission No. NOTARYPUBeal)
1!�W FViMs i1J512020 STATE OF FLORIDA
CLMA
9NM 23R2
Revised 07/15/2014 Expires 1/15=0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE-COMPLETE
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