HomeMy WebLinkAboutBuilding Permit Application t
Ef -M L„PPL!CA0LE•!NF0 MUST BE COMPLETED FOR APPLICATION TO BE-ACCEPTED
if Date 1 1 \`b Permit Number:
RECEIVED JUL 1 '9 V7
m
Building Permit Application
Planning and Development Services
Building and Lode Hegulation DiVislon
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: 5949 Clydesdale Lane Fort Pierce
Legal Description: Pony Pines Unit One Block A Lot 2
Property Tax ID#: 3309-605-0005-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install . 050 aluminum storm panels on 11 window
openings. Install .050 aluminum storm panels on= -
rear lanai.
CONSTRUCTION INFORMATION:
Additional work toe er orme un er t is permit—check a appy:
HVAC ED Gas Tank ❑Gas Piping l AI Shutters Windows Doors
Electric ❑Plumbing Sprinklers I Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5, 200. 00 Utilities: 0Sewer D Septic Building Height:
OWNER/LESSEE: . CONTRACTOR:'
NameRirhard & Susan McAninl y Name: Jeff Jackman _
Address:5949 Clydesdale Lane Company:Master Craft Aluminum Prod.
City: Fort Pierce State: FL Address:1634 SE Niemeyer Cir.
Zip Code:34987 Fax: City: PSL StateFL
Phone No. 475-5552 Zip Code: 34952 Fax: 335-0860 _
E-Mail: Phone No._ 3_1 55-1 1 77
Fill in fee simple Title Holder on next page (if different E-Mail:ma s t•c-rcra f f a 1 umi n um@gma i 1 com
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. 11
CONSTKOCTiON LIEN LAW INFORMATION: - ---
f, --NER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:
l,Address: Address: _.
•�City-, State: Pity: State: _
YIp: 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 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.
s
_Sig ure of er Le see 1eent Sign ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this]Q_day of T131 20 Eby this 1n day of ,T1I 1 201 7 by '
Jeff Jackman Jeff Jackman
(Name of person acknowledging} (Name of person acknowledging)
W l�
(Si tur'`of tary ublic-State of lorida 5 7t1 D.M0 (SigVKno No ary ublic-State of lori Sheryl D Mooro
pUf3LiCNQTARY t'UBiJC
Personal! own x OR Pr t � i Persw OR Prodt ft%-er i
Type of Identification Produced STATEOFFLOVMD Type of Identification Produced " a'tr4fPS42382
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Comm# Expires 1/15/202:1
Commission
115/2 -
Commission No. l)Expires 11115/2020 Commission No. ( eal)
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Revised 07/15/2014
-REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE 1
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1 i
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COMPLETE II i I�j
INITIALS
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