HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��1 1 )1 Permit Number:
RECER'rD JUL 11 2917
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: - To Select from dropbox, click arrow at the end of line window
PROPOSED IMPROVEMENT LOCATION: retrofit
Address: 315 Olive Avenue Port St. Lucie
Legal Description: River Park Unit 2 Block'- 12 Lot 19
Property Tax ID#: 3419-510-0091-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace six windows in five openings
of the home.
CONSTRUCTION INFORMATION:
Additional work to b rformed under this permit—check a apply:
HVAC Gas Tank Das Piping Shutters Windows/Doors
Electric ❑Plumbing Sprinklers l Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$
4,500.00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: . CONTRACTOR:
Name Ric-hard R Jennu- Rivera Name:
jeff Jar-knia.n
Address:315 Olive Avenue Company:Master Craft Aluminum Product
City: Port St. Lucie State: FL Address:1634 SE Niemeyer Circle
Zip Code34952 Fax: City:Port St. Lucie State: FL
PhoneNo._,70--I,0-0744 Zip Code: 3 4q,2 Fax: 335-0.960
E-Mail: Phone No. 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
i1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _K_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.
V__� \'_1 C,e,
s
_4Siignatner/L see/A en SVTETY
Contra o /License Holder
SSFLORIDA
C St. Lucie CF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this__3_a day of May 20 ]1by this 3 0 day of May 20 1.7 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
-—— — -- -- --- --- -— -= -- - -hAoore — - --- (.✓ --
(Signature of Notary Publf& &STArE
ARY PUBLIC (Signature of No ary Pub' o1�ll •j� e
Personal) Known X OF FLORIDA NOTARY PUBLIC
Personally 0fppg42382 Personally Known X r9Type of Identification Produc _IMS0 Type of Identification Pr C�nm#FF942382
Expires 1/15/2020
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2.014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE --
COMPLETE ^^ _
INITIALS
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