HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _^
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Date. Permit Number: �1
P
RECEIVE®
Building Permit Application
SEP 2 2 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 37 Arboles del Norte Spanish Lakes Country Club Village
Legal Description: Spanish Lakes Country Club Village Leasehole Estates being Lot 37 Arboles del Norte
Property Tax]D#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR-IPTION OF WORK: 71
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CO.NSTR,UCTI'ON INFORMATION:
Additional work to be nertormed under t ispermit—check all that appy:
❑HVAC Gas Tank Gas Piping ®Shutters ❑Windows/Doors
❑Electric Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2300 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE _ CONTRACTOR:
Name Ed&Donna Carroll Name: Jeff jackman
Address:37 Arboles del Norte Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:FI
Phone No.574-271-9582 Zip Code: 34952 Fax: 772-335-1177
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page (if different E-Mail: mastercraftaluminum@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: —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.
W�_ S
Signat a of Lessee Contractor as Agent for Owner Sig t ontra or/License Holder
STATE OF PL IDA S FLORIDA
COUNTY OF—s1—i— COUNTY OF
Thefo^r,�oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this`UI day of 20 Jq_by this--q day of 2012 by
(Name of person acknowledging) (Name of person ackn wledging)
(Signature of Notary Public tate of Florida) (Signature of Notary Public-State of Florida) I
Personally Known ✓ubOR Produced Identificaq�e Personally Known �OR Produced Identification
Type of Identification Produced CType of Identification Produced
• STATE 01:FL IDASl�yAl D.�e
Commission No. FF94 ommission No. Pu6
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• res 4 J15 020 _3 STATE OF FLORIDA
Expi
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REVIEWS FRONT ZONING SUPERVISORET
PLANS VEG�i
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COUNTER REVIEW REVIEW REVIEW REVIEW REV.-'N
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DATE: — --� -----,-�.-----•---- ---...----_ -.. . _- ._i.,;
COMPLETE Jii
I INITIALS