HomeMy WebLinkAboutBuilding Permit Application ";:L APPL CABLE 1"NF0 FAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
�f Date:--1 � � Permit Number: -
� RECEIVED JUL 18 ZU17
Building Permit Application
Planning and Development Services
Build g and Lode Heguiction Divislon
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1573 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 9479 Meadowood Drive Fort Pierce
Legal Description: Meadowood Unit Two Lot 9
Property Tax ID#: 1327-802-0010-000/2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install ten accordion shutters on home
CONSTRUCTION INFORMATION:.
Additional work toe nertormed under t is permit-check a apply:
HVAC Gas Tank []Gas Piping MShutters a Windows Doors,
Electric ❑Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 6 , 750.00 Utilities: D Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Daniel & Mary Smith Name: Jeff Jackman
Address: 9479 Meadowood Drive Company:Master Craft Aluminum Prod.
City: Fort Pierce State: FL Address:1634 SE Niemeyer Circle
Zip Code:-3A_951 Fax: City:- PSL State:FL
PhoneNO- 425----4-1-7---a6-36Zi Code: Fax: 335-086 �I
P � 349 52 0 —
E-Mail:---_ Phone No._3_35-1177
Fill in fee simple Title Holder on next page (if different E-Maitnastercraf taluminum@ mai 1.com
a
from the Owner listed above) State or County License: SCC131150586
i iiv4l::e strua Con s$450G,or more,a RECORDED Notice u17 Commencement is r,�auired.
i'
LCONSTkI`i�.T;ON-LIEN LAW INFORMATION:
k }' :oE(I(:-NER%ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
rI -
Name:
.Address: Address:
j:City:.__. State: City: State:
Zip:__ Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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.
s
_S=rfn ssee/Agent Sign ur of Contractor/License HolderIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTYOF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10 day of July 20 a7y this 10 day of July 20 17 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signa re o t y P lic-St to of Florid' ) (Sign ure f o Pub'c-State of Flori
Person wn X R Pr Id$ 9Aftn 8 Personal y no n OR ProducecLide_�]t,fication
Type of Identi fication Produced NOTARY Type of Identification Produc ""�'�'D Moore
STAT
Commission No. EG#nni#FF942382 Commission No. ;+� VT�§Aff FLORIDA
Ecpil'es 119512020 �;:�,�Comrr4 FF9a2382
E i i i-15/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS