HomeMy WebLinkAboutBuilding Permit Application i
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ Permit Number: 1 7D b • V (/� ��
RFEGEEVED
Building Permit Application AUG 10 2097
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: 6642 Al emendra port pi PrnP
Legal Description: SLEW Bloe_k 75 T,nt 1 4
Property Tax ID#: 1306-500-0359-000/8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:'
Install seven accordion shutters.
Six window openings and one front
entry.
CONSTRUCTION INFORMATION:'
Additional work to be er orme un er t is permit—check a appy:
1_1HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
Electric ❑Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2, 485. 00 Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE: .: CONTRACTOR:
Name Thomas & Carol LlutrcheName: rwf f trackman
Address: 6642 Alemendra CompanyMaster Craft Aluminum Product
City: Fort Pierce State:FL Address: 1634 SE Niemeyer,/Circle
Zip Code: 34951 Fax: City: PSL State: FL
Phone No. 32`3-5528 Zip Code: 34952 Fax: 335-0860
E-Mail: Phone NO3 5-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraf taluminum@cfmai 1.com
from the Owner listed above) State or County LicenseSCC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _x Not Applicable MORTGAGE COMPANY; x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip:_ Phone: 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 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
_Signa rgfVner/ ee/Agent Sigatur f ont ctor/Li nse Holder
STA O STAT F,
COUNTY St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_21 day of July 20 x1by this2 1.day of July 2017 by'
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
*D
(Signature of Notaryublic- tate of Florida) (Signature of Nota Public-State of Florida)
Personally Known X 0ec Rg�_ Personally Known X ro&hWO�ation
Type of Identification Prod 9 Type of Identification P , 2, NOTARY PUBLIC
STATE OF FLORIDA
Commission No. Commission No. Cortu*"?382
1/1612020 moires 1/15/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS