HomeMy WebLinkAboutBuilding Permit Application i' L FL! L1:,"'c^ N!UST SE CCMPLFTE0 FCR APPLICAT]ON TO BE ACCEPTED
1 a'o��aie: �� Permit Number: �� M
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RECEIVED
f Building Permit Application F� = J18
Planning and Development Services .ucie County, permitting
Building and Code Regulation Division - 9
2300 Virginia Avenue, Fort Pierce FL 3498=
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: 6 Lavilla Way
Legal Description: Spanish Takes C'C'V T,Pasehol d Estate.
Property Tax ID#: 1301-500-0613-000/2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
e.n
Install accordion shutters. !++ne shutters will
cover five window and four lanai openings.
CONSTRUCTION INFORMATION:
Additional work toe ertormed under tis permit—check all
Nhappy:
HVAC Gas Tank EGas Piping Shutters a Windows/Doors
Electric El Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 4, 00O _D0 Utilities: D Sewer D Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Susan Carson Name: .Taff Ja-ckman
Address: 6 Lavilla Way Company: Master Craft Aluminum Produc
City: Fort Pierce State:FL Address1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State: FL
Phone No._ 216-390-4229 Zip Code:34952 Fax: 335-0860
E-Mail: Phone No335-1177
Fill in fee simple Title Holder on next page (if different E-Mailtnastarr-rafta 1 umi n umpamai 1 nnm
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.
iv i;;t COiVS T KUB`T;ON LIEN LAW INFORMATION:
ICER/E'NIGiNEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:
"j A; ;iress: Address:
City. _ State: City: State:
Phone: Zip: Phone:
Ij FEE SJ VIPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: X 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 thepermit 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
_Signatur of 0 L ssee/A nt Signatu of ra or/Licen e Holder
STATE O RID STA L DA
COUNTY OF Lucie COUNTY St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6 day of_ February 20 18by this 6 day of February 20 18 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging ) (Name of person acknowledging)
& � ICA -
(Signature of Notary Public ate of Florida ) (Signature of Notary Public-State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification ProdLcr�� e
g�ryi D.Mose NOTARY PUBLIP
Commission No. AIAU NO"('M1'IPUBLIC Commission N I)
STATE OF FLORIDA► OF FL
Caring 2382 ccmn*FF942362
Revised 07/15/2014
Expires 111512020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS