HomeMy WebLinkAboutBuilding Permit Application :,'IF-- MUST BE COMPLETED FeR APPLICATION TO BE ACCEPTED d j�
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I� Date:_�� � Permit Number:
'I RECEIVED
a ! JAN 18 2018
Building Permit Applicatic n
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
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: 102 Mediterranean Blvd. North
Legal Description: St. Lucie Gardens 26 36 40 Being Lot 102 Med N.
SO)'11d�- 0,010:-q Lot No.
Property Tax ID #. - - 1y1
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install accordion shutters on (8 ) window openings
and (3 ) lanai openings .
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit-check a appy:
HVAC 11 Gas Tank 7Gas Piping MX Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers []Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 5, 400 . 00 Utilities: []Sewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Laurence & Marie Roussy Name: Jeff J;;ckm;;n
Address: 102 Mediterranean Blvd. N. Company: Master Craft Aluminum Product
City: Prt St. Lucie State: FL Address1634 SE Niemeyer Circle
Zip Code: 34952 Fax: City: Port St. Lucie State: FL
Phone No. 51 R-5F9-R7�9 Zip Code:34952 Fax: 335-0860
E-Mail: Phone No335-1177
Fill in fee simple Title Holder on next page (if different E-MailftiastercraftaI 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 =' _i�'iLiti i: L COtiSTKUi✓i ION LIEN LAW INFORMATION:
N,,ER/_*NGiNEER. Not Applicable I MORTGAGE COMPANY: Not Applicable
tY n�—
t Name:
i-
Address:
City. _ State: City: State:
Phone: Zip: Phone:
)1 FEE SJJMPLE 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.
s
_SignaWep rLess e Agent Sign ure Cot ct se older
STATE STATEVFFIDACOUNTY OF St. Lucie COUN Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this—_Way of Januar, 20 Eby this__1_0Jay of jan,arT 201 A by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
1.0, hm"t' -
(Signature of Notary P' lic-State of Florida ) (Signature of NotaryPublic-State of Florida )
Personally Known X 0 ProdSq�gi V&6tion Personally Known X ,P od I9rlM6Q%ion
Type of Identification Pr Type of Identification Pr (PU8L1C
STATE OF FLORIDA STATE OF FLORIDA
Commission No. Cam 42382 Commission No. Cemrt4 2382
Expires 1/15/2020 Expires 1/15/2020
AUK I
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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