HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Y 9I
RECEIVED
Building Permit Application SEP 2 2 213"17
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: 15 Lavilla Way, Ft Pierce, Spanish Lakes Country Club Village
Legal Description: Spanish Lakes Country Club Village Leasehole Estates being Lot 15 Arboles del Norte
Property Tax ID#: 1301-500-0620-000/4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRIPTIO.N'-OF WORK-
CO_ NSTRUCTIO,N INFORMATION:'
Additional work to be nertormed under tispermit–check all t a appy:
❑_HVAC Gas Tank Gas Piping tk Shutters Windows Doors
❑ p g ❑ /
Electric ❑ Plumbing Sprinklers ElGenerator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 3500.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE - 'CONTRACTOR-
Name
CONTRACTOR:Name Daniel&Donna Foradas Name: Jeff jackman
Address: 15 Lavilla Way 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.412-849-8961 Zip Code: 34952 Fax: 772-335-1177
E-Mail: Phone No. 772-335-1.177
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 A_
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
�:_ J
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.
i - s
Signatur f n �ILreontractor as Agent for Owner Signa r o •Cctor/License Holder
STATE O STA F ORIDA
COUNTYOFsti-i, COLIN s,lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this`�day of 20/ by this day of J 20 f7 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publi -State of Florida) (Signature of Notary ublic-State of Sheryl .Moore
/ Sheryl D.Mows NOTARY PUBLIC
Personally Knowny OR Produ iWEARY PUBLIC pPeersonally Known OR Pro 'SOF FLORIDA
Type of Identification Produced TEO –Type of Identification Produced Corrwn#FF942382
Conc*FF94 Expires 1/15/2020
Commission No. Expires i1i 5121YA mmission No. — (Seal)
Revised 07/15/20-14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION. SEA TURTLE I MANGROVE
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