HomeMy WebLinkAboutBuilding Permit Application L ^^L:C .CL: ;"_c0 ",^:ST EE COMPLETED FOR APPLICATION TO BE ACCEPTED
tl Date:_� � Permit Number: 1lt(31
i
I _
s RECEIVED
{ Building Permit Applicatio
Planning and Development Services JAN 18 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1573 Commercial ResidentialX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 1 1Q MPtli tPrranean A1v13 Ninrth
Legal Description: St. Lucie Gardens 26 36 '40 Being Lot 110 Mediterranean Blvd Nort
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install accordion shutters on six window openings
and three lanai openings.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under t ispermit—check all h apply:
HVAC Gas Tank Gas Piping I x Shutters a Windows/Doors
Electric Plumbing 0Sprinklers []Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 5,200 .00 Utilities: []Sewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jaques X Pauline T.nrd Name: .Teff JackMan
Address: 110 Mediterranean Blvd. N. Company: Master Craft Aluminum Product
City: Port St. Lucie StateFL Address1634 SE Niemeyer Circle
Zip Code: 34952 Fax: City: Port St. Lucie State: FL
Phone No. 877-1579 Zip Code:34952 Fax: 335-0860
E-Mail: Phone No335-1177
Fill in fee simple Title Holder on next page (if different E-Mailmastarrraft-a 1 Lmi num(agmai 1 com
from the Owner listed above) State or County License: SCC131150586
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
7L7�_
I—i'ALCONSTRUC-T;ON LIEN LAW INFORMATION:
C ER/I`_'NGiNEER. Not Applicable MORTGAGE COMPANY: Not Applicable
N P. c: Name:
'41 Address:
City. State: City:
ty: Stat e:
Phone: Zip: Phone:
li FEE SUN1PLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
.Address: Address:
City: I City:
Zip:_Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, per-form the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
_7 Signatur
Signatu� er Lessee tr Holder
STATE=R STATuE;,M RI DA
COUNTY OF St. Lucie COUNTY OF St.- Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this10 day of January 20 1$,y this 10day of January 2018 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
- z I mottt' 4A�I IN_Vr__4_
(Signature of Notary PLahic-State of Florida ) (Signature of Notary rublic-State of Florida
Personally Known X OR Produced Id tifi 6ikQxw*__ Personally Known X OR Produced Identification
Type of Identification Produced _ Type of Identification ProducQ90" Sh"D.M=*
11111W I PUWGW)TAKY PUBILIC
Commission No, al TE OFF Commission No. JW%STM10g6)F FLORIDA
FF942382 CAIM11,11110 FF942382
W. - E*M 1/15/2020 Expires 1/15/=
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS