HomeMy WebLinkAboutBuilding Permit Application L ^^L'C"_CLE' "'F^ NIU'ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
11 Date:� � � Permit Number: 1"00O I —
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RECEIVED
Building Permit Application JAN 18 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie C9yncY, Permitting
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: 13 Arb 1 Pc del Norte
Legal Description: gT.r ( V T.Pasehold—Estates" Lot 33 Arhnl Psdel Nnrt-P
Property Tax ID#: 6o4_s Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install three accordion shutters to
enclose rear lanai (sunroom)
CONSTRUCTION INFORMATION:
Additional work to be
pe orme under this permit—check all
Mhapply:
HVAC �J Gas Tank Gas Piping Shutters a Windows/Doors
Electric F-1 Plumbing 11 Sprinklers E Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 3, 000. 00 Utilities: 0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Tnhn & ganrira ghimelrl Name: .T ff Jackman
Address:33 Arboles del Norte Company: Master Craft Aluminum Product
City: Fort Pierce State:FL Address: 1634 SE Niemeyer Circle
Zip Code: 349-51 Fax: City: Prirtgt T,u(-i P StatEFL_
Phone No. 882-4792 Zip Code: 34952 Fax: 335-0860
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page (if different E-Mail: master .ra f al umi num@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 .AL CONISTRUC TiON LIEN LAW INFORMATION:
ENGINEER:
Not Applicable I MORTGAGE COMPANY: icah le ZNot AppI
Name:
Address:
City. _ State:State: Ci State:
Phone: Zip: Phone:
Ij FEE SiMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
N�+ime: 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 your Notice of Commencement.
s
Signa 're 03nor/ ee Agent Signa re on a or/License Holder
I.
0
STAE��v STA WFF
COUNTY – St. Lucie COUNT'"F St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_g_day of ..Jani-lary , 20 JZby this R day of jan1lary 201 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging
(Signature of Notary 11'O'blic-State of Florida ) (Signature of Not gYy Public-State of Florida
Personally Known X OR Produced Jdenti6cjjjPersonally Known X OR ISh*0aNWM
Type of Identificationstwfi —
Produce 1W 1 POW FUM—i Type of Identification Procluc:i� NOTARYPIAN 1111
OF FLORIDA 914M 19
3Vk;23MRd4M*FFS42382
Commission No. FF942382 Commission No. STATE OF FLORIDA
E)Ors$1/15/2= Expires 1115riM
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS