HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r RECEIVED
Building Permit Application MAY 0 3 7016
Planning and Development Services
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 IMR01lEMENT LOCATION '' `
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Address: �T. lr•��_ �F�1 �.rn�� ���r7� �l � `���
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OF:2389-639)That Part of SEC As Shown in or 2
Property Tax ID#: 1301-500-0141-000-2 Lot No.
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Pauls
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION;OF UI/ORt<,
Installing three accordion shutters on the back lanai area.
CONSTRUCTION INFORMATION
3.
s. - -
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Additionalworkto e e orme un er this permit—check all P14 appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ y� Utilities: Sewer O Septic Building Height:
OWNER/LESSEE t CONTRACTC7R:
_
Name Name:
Address: C6,11l,- (If, �.c���, Company: Master Craft Aluminum Products
City: r+ pie-no" State:Fl Address: SE 11j%Ct/n cq a(,f r
Zip Code: 34951 Fax: City: State:FI
Phone No.914-565-7290 Zip Code: 3495TL 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 LAIN IN;FORMATICiN
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.
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Signature of O �/L see/Contractor as Agent for Owner Sig=- FLORIDA ctor/License Holder
STATE OItiFLORI ST
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of May 20 Id by this 2 day of May 20L by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced l Produced
•� I10 kyr- LIV -,h2"--
(Signature of Notary Public-State of Florida ) �ryID.MOM (Signature of Notary Pu lic-State of Florida )
BUC StwA D.
Commission No. STATEOF ORI *ommission No. NRTMYPPUUBUC
Conn*FF94 STATE OF FLORIDA
E res JJW2020 Cmm*FF942382
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17