HomeMy WebLinkAboutBuilding Permit Application tc
".:L "r UST BE COMPLETED ETED FOR APPLICATION TO BE ACCEPTED
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i; i!aie: Permit Number: 10>161 Is— 61
RECEIVED
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Building Permit Application MAY 1.3 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2800 Virginia Avenue, Fort Pierce 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 Shutter
PROPOSED IMPROVEMENT LOCATION:
Address:_ 17 Lake Vista Trail #101
Legal Description: Vista St. Lucie Bldg 17 `Unit 101
Property Tax ID#:3422-500-0225-000/3 Lot No.
Site Plan Name: Vista St. Lucie Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install four accordion shutters per diagram.
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under tis permit—check all that apply:
HVAC Gas Tank 1:1Gas Piping 0 Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,800 .00 Utilities: Sewer Septic - Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Larry & Charlotte 01 son Name: .TAff �Zsckman
Address:_ 17 Lake Vista Trail #101 Company: Master Craft Aluminum Produc
City: Port St. Lucie State: FL Address1634 SE Niemeyer Circle
Zip Code: 34952 Fax: City: Port St. Lucie State: FL
Phone No. 3-16-0997 Zip Code:34952 Fax: 335-0860
E-Mail: Phone No335-1177
Fill in fee simple Title Holder on next page (if different E-Mail a Gtarara fta 1 umi n um(agm i 1 nm
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.
.1�';'�_�'v`iil�i"t:AL�Oi\+`S I i �iC"I'�•r�N LIEN LAW INFORMATION:
_ ENGiNEER: L Not Applicable + MORTGAGE COMPANY: Not Applicable
F' rs;jF= Name:
i ' Address:
r,C,i�r�SS:
city. State: City: State:
Phone: Zip:
Phone:
0 FEE SHIVIPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 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 all respects,perform the work
in accordance with the approved pians,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
commencin work or recordingyour Notice of Commencement.
\As
_Sig to o w erj Lessee/Agent Sign u Co tractor/License Holder
STAT O LORIDA STATE F FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this w day of 20 ^by this day of ,20 _by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging}
•(Signature of Notary Publi -State 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 Produced ShWA D NWe
StO A D• NOTARY PUBLIC
Commission No.
Romm ARY piJBUC Commission No. STATE t���REiDA
STALE OF F1' i A
FF9d CFF942382
AS
PYAIJ
Revised 07/15/2014
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