HomeMy WebLinkAboutBuilding Permit Application MUST E COM FCF - ;%=• PTED
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Date: a/.13 2--_— Permit Number:I- � fI
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RECEIVED1 !
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Building Permit Application OCT 2 3 2017
I Planning and Development Services _ __ PER.MITTING
!� Buil i g n od�g�on ivision St. Lucie County, FL
I 2300 Virginia Avenue, Fort Pierce FL 34982 - X
IPhone: (772)462-1553 Fax: (772)462-1578 Commercial — Residential --
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Windows
PROPOSEE_D�IMP OVEMENT LOCATION:
Address: t Pi Prrp-
Legal Description: Lakewood Park Un i t 10 R1 nck .1 '32 Int- 19
Property Tax ID 4: 1301-612-0335-000/3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install fourteen windows in ten openings
per diagram
CONSTRUCTION INFORMATION:
Additional work to Be r)erTormeJ under this permit-check aTFt atapply:
❑HVAC I_1 Gas Tank F]Gas Piping _Shutters x�Windows/Doors
nElectric ❑Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ i 000 00 Utilities: Sewer Septic Building Height:
f
WNER/LESSEE: CONTRACTOR:
me gnhert Lacerda Name: Jeff Jackman _ress:6�5 Deland Avenue Company:MaGtPr Craft Aluminum PRODUCT
City: Fort Pierce State: FL Address:1634 SE Niemeyer_Circle
Zip Code: 34951 Fax: City: Port St Lucie StateFL
Phone No.-17 A430 Zip Code: 34952 Fax335-0860 _ �I
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page (if different E-Mail:mastercraftaluminum@qmail.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. �II
tF+-S;uri7'1 :�fiVi:ciaLCONSTkUCT;.ON LIEN LAW INFORMATION:
st{ G.eylrNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:
JIJI .A;:�iress: Address:
City; State: City: State: _
Ik Zip: _Phone: Zip: Phone:
i FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
--� pp 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 o recording our Notice of Commencement.
s
_Signa re 0 er/L see/Agent Signatur of ntr ctor/License Holder
1
STATE O IDA STAT OF OR A
COUNTYOF St. Lucie COUNTY St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this20 dayof October 2017 by this 20dayof October . 2017 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produce dJdeni � Personally Known X OR Produced Identification
Type of Identification Produc UWi" of Identification Produced
Inv Commission No. MISMIg OF FLORIDA Commission No. NOTARY
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TATE O IDA
res 1/15/2020 Corrin#FF942382
Revised 07/15/2014 E)Vres 1/151r2=020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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