HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4
RECEIVED
Building Permit Application
Planning and Development Services MAY 0.3 1018
Building and Code Regulation Division
Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED, IMPROVEMENT LOCATION
Address: IqjSc� IJPS+ruz
Legal Description: 06 34 39 That Part of SEC As Shown In or 2380-1934 Being Lot 14252 Avestruz(BLK Lot 8)(0.13AC-5663SF)(Or 4081-330)
Property Tax ID#: 1306-501-0597-000-1 Lot No.
Site Plan Name: Spanish Lakes Fairways Block No.
Project Name: Chinn
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Installing eight Accordion Shutters on the windows on the home.
CONSTRUCTION JNFORMATIC>N �3 „
Additional work to be nertormed under t ispermit-check a ;1 appy:
HVAC Gas Tank E]GasPiping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator E,Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cu
Cost of Construction:$ W75`-' Utilities: Sewer ElSeptic Building Height:
ODUIf R LESSEE CONTRACTOR
Name nn Name: UI—C N
Address: 1`1)5a PWf4rUZ a Company: Master Craft Aluminum Products
City: 7� �ii RC2. State:Fl Address: 163Y 5C I)'e+-cuter L'
Zip Code: 34951 Fax: City: (Jr� Sf Loci e State.FI
Phone No.772-579-6902 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.
A
S1IPPLEMENTAL`CONSTRUCTIO!N yEN LAW INFPWATI,
DESIGN ER/ENGINEER: _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.
A/
Signatur r/ a ee/Contractor as Agent for Owner Signat e -f on r ctor/License Holder
STATE F ID STATE OF FLORIDA
COUNTY OF Ocie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of May 20_ by this 2 day of May p 20_ by
Name of p rs n making statement Name of pers n making statement
Personally Known Y,, OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida ) Shard D MWM (Signature of Notary Public-State of Florida)
Commission No. NOTARYPUBLIC Commission No.
STATE OF FL IDA =I=C
Comte FF94230 t STATE OF FLORIDA
Go=0� G 382
1,12020
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17