HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i�( (�
Date: Permit Number: ` U 0� V
` r RECEIVED
Building Permit Application WAY ®3 7018
Planning and Development Services Department
Permlmitting
Building and Code Regulation Division ting County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
P,RPPOSED--lMFROV--E, ,'.ENTrL1JCAT1"CIN
Address: �� ��+2r Gte �Ir•c,
Legal Description: Spanish Lakes County Club Village Leasehold Estates(OR 2389-639)That Part of SEC as Shown
in or 2389-639 Being Lot 18 LA Puerta del Norte(0.18 AC-7841 SF)(Or 3808-2120)
Property Tax ID#: 1301-500-0561-000-2 Lot No.
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Corey
Setbacks Front Back: Right Side: Left Side:
DI=TAILED DES'CRIPTION_OF`VvC►RK ,
D- =
Installing nine accordion shutters around the house and lanai.
CflN5TRUCTI()N 1NFORIUIITION ; 21
itiona
work toa er orme uncle t is permit–check a appy:
HVAC 11 Gas Tank E]Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 5900 Utilities: Sewer E]Septic Building Height:
>s
01(t%NERJLESSEE . . CONTRACTOR
�.
. ... ._
Name (ej Name: 75(0 lwk eN
Address:_Ib L- Puer�i, &I IVur�C Company: Master Craft Aluminum Products
City: T) P%C'r W_ State:FL Address: 1(0�>'-1 S+ u`F—C
Zip Code: 34951 Fax: City: 7oh 6yL-"t,c State:FI
Phone No.772-468-7876 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.
StJPPLEMENI"AL CONSTRUCTIQN LIEN LAW INFQRMATI�N
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: 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 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.
Signatur essee/Contractor as Agent for Owner Signatu%2ORIDA
n Victor/License Holder
STA RIDA STATE
COUNTY OF Stt_ucie COUNTY OF StLuofe
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a day of 20L by this day of �1 20 by
Name of person making statement Name of person making statement
Personally Known _OR Produced Identification Personally Known C OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida ) (Signature of Nota Public-State of Florida)
Sheryl D.Moore tWoae
Commission No. w*gRYPUBLIC Commission No.
STATE OF FLORIDA Y PUBLIC
I-M., Comte FF942382 STATE OF FLORIDA
Comm#FF942382
E)V 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