HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U c�
Date: 2/20/2018 Permit Number: i da ` +�
RECEIVED
Building Permit Application FEB 2 0 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 50 San Luis Obispo, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part of SEC As Shown
In Or 2389-639 Being Lot 50 San Luis Obispo(0.11AC)(OR 3358-974)
Property Tax ID#. X30 00 O QO 5 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 toe nertormed under this permit—check a appy:
HVAC0 Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric E] Plumbing Sprinklers U Generator Ll Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5600 Utilities: 0 Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Thomas Zachareas Name: Jeff Jackman
Address:50 San Luis Obispo 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.772-466-2047 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
Name: es Name:—"-js�
Address: Address:
City: Ft Pierce State: City! Popq.& State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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.
Sign r o ner/ essee/Contractor as Agent for Owner Sign=OF
or/L ense Holder
S L DA STA
COUNTY OF � ""'e' COUNTY L,14<,
The forgoing instrumen was acknowledged before me The forgoing instrumpnt,was acknowledged before me
this_day of ' 2019 by this?A day of 20/e by
Name of pe s n making statement Name of person making statement
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced 6� , Produced
U S}oyi D.Mose 1(71,A_,q C)
AR&N.---.___�-NOTARY KOM
IDA
(Signature of Notary Public-State of COMM#FF94 (Signature of Notary Public- F
tes 111 NOTARY PUBUC
Commission No. Commission No. STA WLORIDA
Convn#FFS42382
Expires 1/15/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17