HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/20/2018 Permit Number: 1�oa'd`19a
RECEIVED
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Building Permit Application FEB 2 0 201$
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)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: "� 4 -.k v i I li 6� 114
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639)That Part of SEC As Shown In
Or 2389-639 Being Lot 61 La Villa Way(0.11 AC-4886SF)(OR 3405-1723 : 3480-1338)
Property Tax ID#: - 1301 ' 11— d b0 x-.000 '.S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
To install nine accordion shutters on the home in Spanish Lakes Country Club.
[CONSTRUCTION INFORMATION:
Additional work to be r)ertormed under this permit—check all apply:
HVAC Gas Tank F]Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 5600 Utilities:]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Judith Salmon Name: Jeff Jackman
Address:61 LaVilla Way Company: Master Craft Aluminum Products
City: Ft Pierce State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:FI
Phone No.772-242-1537 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page( if different E-Mail: mastercraftaluminum@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
N am e:Judith Salmon N am e:Jeff Jackman
Add re ss: Add ress: 61 Laviiia way
City: Ft Pierce State: City: PortSt Lucie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 1634 SE Niemeyer Cir Address:
City:_ City:
Zip: Phone:_ Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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.
Signat a er/Lesse /Contractor as Agent for Owner S=E =-
COUNTY
/Licens Holder
STA O S OF COUNTY OF
The forgoing instrum t was acknowledged before me The forgoing instrum nt was acknowledged before me
this day of 201 e by this "ZO day of 20Li by
Namef n aking statement Name f e o aking statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
4Az--,q k, Ot4� /��
(Signature of Notary Kublic-State of Florida ) (Signature of Notary Public-State of Florida )
Stt'eryl D.Mose
Commission No. I) Sheryl Commission No. NOTAI�NEOWC
NOTARY PUBO STATE OF FLORIDA
STATE OF FLOR DA Carr *FF942382
REVIEWS FRONT ZONI TIS9R----PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17