HomeMy WebLinkAboutBuilding Permit Application � A,I n pn, rC)TnPLETED FOR APPLICATION TO BE ACCEPTED
iDate: ____ Permit Number:
RECEIV'D JUL 18 2017
s
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 shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 7 Buenos Aires Fort Pierce
Legal Description:Spanish Lakes .CCV Leasehold Estates Lot 7 Buenos Aires
Property Tax ID . "� - \-40�) - d d0 -S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install seven accordion shutters on home
CONSTRUCTION INFORMATION::
Additional work to be erformed under this permit-check all h appy:
HVAC Gas Tank E]Gas Piping fix Shutters a Windows/Doors
Electric ❑Plumbing Sprinklers I Generator 1:1 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 2, 475 . 00 Utilities: Sewer 0Septic Building Height:
OWNER/LESSEE: . - CONTRACTOR:
Name Roherf- & D _hra Vandprmnl pn Name: Jeff Jackman
Address? Buenos Aires CompanyMaster Craft Aluminum Prod.
City: Fort Pierce State:FL Address-1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: PSL StateFL
Phone No. 616-822-9009 Zip Code.: 34952 Fax: 335-0860
E-Mail: Phone N035-1177
Fill in fee simple Title Holder on next page (if different E-Mailmastercraftaluminum@gmail.Com
from the Owner listed above) State or County Licens0CC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL Z.'ONSTRUC 10N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x'_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: _ Address:
City: _ _ State: City:_ State:
Zip: �Plione: 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.
";/\j Y,--, N\'� s
_Signat w er/ esse Agent Signat o Contract is se Holder
STA R=DA STAT OF FLO A
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10 day of July 20 1 7b this 10 day of July 20 17 by
Jeff Jackman Jeff Jackman
(Name of person acknowledg' g) (Name of person acknowledging)
(Signa �re
ary ublic-S to of Florida ) (SirJae o ota 4Pr
Ip.MooreSheryl D.Moore NOTARYPUBLIC
Persona x O � t i�1 UC Per Kno S'A�nt�RELORIDA
Type of Identification Produc STATE OF FLORIW Type of IdentificationF942382
Comm#FFS4 F_xp,lms 1/15/2020
Commission No. (ExPI 81/15/2020 Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS