HomeMy WebLinkAboutBuilding Permit Application I'. ILL A?I'UCA13F E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
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Daate:1�1_s�11� RECEIVED JUL 18 2017 ber:
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Building Permit Application
Planning and Development Services
Building and L00fe Hegularion 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 Infill
PROPOSED IMPROVEMENT LOCATION:
Address: 2 Verde Vista Fort P i Prnp
Legal Description:Spanish Lakes CCV Leasehold Estates Lot 2 Verde Vista
Property Tax _ _ 1'bo 1— \ .O�d�—a00 S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install two-wall infill screen room under
existing truss roof on. -existing concrete.
CONSTRUCTION INFORMATION:.`
Additional wor to be nertormed under this permit—c ec a apply:
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:$ 1 500 A0 Utilities: ElSewer[]Septic Building Height:
OWNER/LESSEE: . CONTRACTOR:
Name Charles Chernack Name: Jeff Jackman
Address:2 Verde Vista Company:Master Craft Aluminum Pror9 _
City: Fc)rt Pierce State: pT, Address:l F-44 SF- Nieme er f irr-le
Zip Code: 34951 Fax: City: PSL State:FL_
Phone No. none Zip Code: 34952 Fax: 335-0860 '*
E-Mail: Phone No. 335_1177
Fill in fee simple Title Holder on next page(if different E-Mahastercraf taluminum@gmail com I ;
from the Owner listed above) State or County License:SCC131150586 II
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Sui'.3 L���Ji,�`NTAL COI�(�Tt i`iC-TjON LIEN LAW INFORMATION:
ENGINEER: _ X Not A licable x
»I . . _ PP MORTGAGE COMPANY: Not Applicable
f Nrrie: Name:
.A;aaress: Address: -
I:CI>y: State: City: State:--
ip:_ Phone: Zip: Phone:
FSE SJMPLE 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.
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S' at (FL'O
w er/ essee/Agent Sign u f Contractor/License Holder
ST E ORIDA STOF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l Oday of July . 20 IZby this 1 Oday of July 20 17 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging
(Sign ure N a Pub is-State o** " ell (Signatu of N to ub ic-S to of Florida)OTARY RUBU �pShery1 D.MoorePers o n OR ProdTAM01:FLO 'Persona wn x OR I tk2lIBLIC
Type of Identification ProducedF�FS 2 T pe of Identification Produc FLORIDA
IM 1d15 2 2(� tCommission No. Xp Commission No. S�j1512020
Revised-07/15/2014
REVIEWS I FRONT_ ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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