HomeMy WebLinkAboutBuilding Permit Application !' ... :_."P^LIC",BLE INFO MUST BE CCNIPLETED FOR APPLICATION'TO BE ACCEPTED
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- 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 atithe end of linewindows
PROPOSED IMPROVEMENT LOCATION:
Address: 5015 Palmetto Drive Fort Pierce
Legal Description: Indian River Estates Unit 5 Blk 3 S 27 ft of E 220 Ft
of Lot 49 and E 220 ft of Lots 50 and 51
PropertyTaxlD#: 3402-6fl6—Q(L_5-000/4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK 'Remove and replace 16 windows
CONSTRUCTION INFORMATION:,
Additional work to be nerformed under t ispermit—check all thatj appy:
HVAC u Gas Tank E]Gas Piping LJ Shutters a Windows/Doors
Electric ❑Plumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2,475. 00 Utilities: 0Sewer 0Septic Building Height:
OWNER/LESSEE: . CONTRACTOR:
Name- Silgan Cnl l in Name: Teff ,Tarkma•n
Address: 5013 Palmetto Drive Company: Master Craft Aluminum Product.
City: Fort Pierce Stater Address1634 Se Niemeyer Circle
Zip Code: 34982 Fax: City: PST. StateFT,
Phone No. 201-4984 Zip Code: 34952 Fax: 335-0860
E-Mail: Phone No. 3 35-1177
Fill in fee simple Title Holder on next page{if different E-Mailmastercraf taluminum@gmail,com
from the Owner listed above) State or County License: SCC131150586
If value 0f construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable,
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: XNot 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 thepermit 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' hat wrier essee/Agent Signa tu of C ra or/License'Holder
I _
S ATE F A STATE OF FLORIDA
CO OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this3_day of J11 y 20 —by 17 this—3—day of jul, 20 17_by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
M4�11
(Signature of Notary Public-State of Florida) (Signature of Notary P blic-State of Florida)
Personally Known x OR edWWAiQcNWP Personally Known x OR �i dN Y�
Type of Identification Produc , NOTARY PUBLIC Type of Identification Produce
STATE OF FLORIDA SME OF FLORIDA
Commission No. (2a"FF942382 Commission No. �FF9d2382
Expires 1115/2020 xplrea 1/151420
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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