HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
• RECEIVED
Building Permit Application MAY ®3 me
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 I'M' <RfJUEME`NT LOCATION.
Address: 14357 Amapola Cir, Ft Pierce, FI 34951
Legal Description: 06 34 39 That Part of SEC As Shown in or 2380-1934 Being Lot 14357 Amapola Cir(BLK 21 Lot 9)(0.13 AC)(OR 3223-2309)
Property Tax ID#: 1306-501-0266-000-2 Lot No.9
Site Plan Name: Spanish Lakes Fairways Block No. 21
Project Name: Reynolds
.Setbacks Front Back: Right Side: Left Side:
DET/ ILED DESCRIPTION OF WORK
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Installing six accordion Shutters on the home.
CONSTRUC '!,, INfORMATION
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Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping In Shutters Q Windows/Doors
41 Electric 0 Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 2300 Utilities: Sewer O Septic Building Height:
C►WNE ILESSEE . `; CONTRACTOR:
_.
Name Bradley&Sheila Reynolds Name: Jeff Jackman
Address:14357 Amapola Cir Company: Master Craft Aluminum Products
City: Ft Pierce State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:FI
Phone No.409-4759 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:•Jawnumab
Address:14 Address: 1.4�
City: Ftp--- State: City: Port St-tt e State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: efCir 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 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 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.
Signat e o , /Les e/Contractor as Agent for Owner Sign ure o Contractor/License Holder
STATE-9 RIDA STATE OF FLORIDA
COUNTY OF S«uC1e COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of May .2015 by this 2 day of may .20 A by
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Name of persn 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
44:�44' hlo� J, hi o�
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Commission No. Seal�heryl ).Mwm Commission No. Shery�S%�l =
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDJ STATE OF FLORIDA
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REVIEWS FRONT ZO RVISOR PLANS VEGETATION TIS t COVE
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17