HomeMy WebLinkAboutBuilding Permit Application I .-MU APPI.:CACLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --
Date:_.��_L � I u I
, Permit Number: - � �1d _L�
RECEI' OCT 13 11017
Building Permit Application
Planning and Development Services
Buil ing and Coe egu a ron ivision
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1573 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of-line Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: _ 56 F1 r,res del Norte Fart Pierce
Legal Description:East a of Section 1 Township 34S Range 39 R l—ss the
N 1069 .59 ' lying N & W of Turnpike Feeder Road
Property Tax ID#: 1 301 -5On-0-378-0-00/2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK::
Install accordion shutters (11) per diagram
I.-CONSTRUCTIONINF.OkMA.TIO..N:..'
Additional work to be performed un er t is permit—check a apply:
HVAC Gas Tank
❑Gas Piping _Shutters Windows Doors
a
Electric ❑Plumbing Sprinklers [Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5, 000.00 Utilities: OsewerFleptic Building Height:
OWNER/LESSEE: . CONTRACTOR:
Name sne Tooke Name: Jeff Ja-ckma-n
Address:_56 Flores del Norte Company:Masterraf Alum 1llYli niimPrnrliici-g
City: Fort pi _rcp State: FT, Address:l 634 Se Niemeyer_ Ci-r_cl-e
Zip Code: 34951 Fax: City: port S _ T.11 i P Stater
Phone No._201-0355 Zip Code: 34952 Fax: 33,_DSFD
E-Mail: Phone No. • 335=1 1 77
Fill in fee simple Title Holder on next page(if different E-Mail:mastercraf taluminum@gmai 1 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. I
1'
�L}r131 ��01i 1\I ; L CONSTROCI N LIEN LAW INFORMATION:
D;Z: II iNFR/ENGINEER: y X. Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:
j,A<idress: Address:
1.City; State: City: State:
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 1s 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,wails,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
commencin wglrkpr recording our.Notice of Commencement.
\U 1 s
_Signatur of w er/L Signature Contractor/Lit
STATE F O DA STATE F LORIDA
COLIN St. Lucie _ COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 17 day of October 20 Eby this 17 day of October 20 17 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) {Signature of Notary bPublic-State of Florida
Shell D•Mone Shell D.Mose
Personally Known x Persdnally-Know11tIPMWA*19tification
Type of Identificat p OF FLORIDAType of Identific ATE OF FLORIDA
Ca FF942382 Com
Commission No. �.1t1512020 Commission No. s res 1115
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS- VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS