HomeMy WebLinkAboutBuilding Permit Application "-'L AP! ':CLE;"CEO rr„ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date:_- Permit Number:
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_ Building Permit Application MAY 0 3 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, FortPierce FL 34982
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 Infill
PROPOSED IMPROVEMENT LOCATION:
Address: 14019 Dalia
Legal Description06 34 39 Being Lot 15 Block 25
Property Tax ID#: 1306-501-0375-000/9 Lot No.
Site Plan Name: Spanish Lakes Fairways Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Screen in laizai under truss roof, existing concrete
CONSTRUCTION INFORMATION:
Additional work to be ertormed under tispermit—check all hat apply:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1 ; 500 00 Utilities: Sewer 11 Septic Building Height:
-OWNER/LESSEE: CONTRACTOR:
Name Gary & Maureen Bell Name: .Taff .Tar-kman
Address: 14019 Dalia 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. 766-1856 Zip Code:34952 Fax: 335-0860
LLinfee
Phone No335-1177
mple Title Holder on next page (if different E-Mail{naGt-Prcraftal imin im@gmai1com
wner listed above) State or County License: SCC131150586
nstruction is$2500 or more,a RECORDED Notice of Commencement is required.
:s} i"w_l`ii�lv'i';�L t OitiCS T KL;�i'!ON LIEN LAW INFORMATION:
V,ER j ENGINEER: Not Applicable ( MORTGAGE COMPANY: Not Applicable
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Name:
i' Address:
! Cite. State: City: State:_^
_ip:. ^ Phone: Zip: Phone:
t1 FEE SiMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: � Name:
Address: Address:
C;ty: 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 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 ail 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.
\M1 r� - '\W I
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_Signature n see/Agent Signjt�rDCo ctor/License Holder
STATE'O' I A STAFLO DA
COUNTY F St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_3,Q day of A,pr i 12018 by this 10 day of April 20 18 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging} (Name of person acknowledging)
(Signature of Notary Pub6li�c-Sta=te of Florida} (Signature of Notary Public-State of Florida}
Personally Known X OR Produced Identification Personally Known X OR%RAW* ification
Type of Identification Produced SIS Type of Identifica1mg
pV�
NOT DP► OF FLORIDA
Commission No. ST Commission No. FF4
• res 1115 s 1115/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
IN ITIALS