HomeMy WebLinkAboutBuilding Permit Application ^.DST BE COMP!=TED FOR APPLICATION TO BE ACCEPTED
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it irate: Permit Number: /965 -0(a C
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E _ _ RECENED
i Building Permit Application
Planning and Development services MAY ®.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) 462-1573 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 6719 Alemendra
Legal Description: Spanish Lakes Fairways Blk 50 Lot 14
Property Tax ID#: 1 306—OO-01 tit-000/0 Lot No.
Site.Plan Name: Spanish Lakes Fairways Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install three accordion . shutters to cover two sliding
glass doors and front entry door.. . ,
CONSTRUCTION INFORMATION: 7
Additional work to be ertormed un ert is permit—c ec a �x75hutters
at appy:
❑HVAC Gas Tank ❑Gas Piping a Windows/Doors
❑Electric ❑Plumbing []Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2,400.00 Utilities: ❑Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name RnhPri- 9 Roc;Pann Pahi a Name:
.TAf f Jackman
Address: 6719 Alemendra 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. 815-666-9166 Zip Code:34952 Fax: 335-0860 '
E-Mail: Phone No335-1177
Fill in fee simple Title Holder on next page (if different E-Maiha cterara ft-a 1 umi n umAgm i 1 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.
L CONS Th iOi'IJN LIEN LAIN INFORMATION:
`';' ,�Z :c=i %RjEl�GTI�`EER: !Not Applicable MORTGAGE COMPANY: NotAppiicaile
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; arlf': Name:
Address:
�.:"stia ress..
Citi.. State: City: State:
31ip:._.__ Phone: Zip: Phone:
1� FEE S-ROPLE TITLE HOLDER: ZNot Applicable BONDING COMPANY: _Not Applicable
•Nnme: _ 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 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 recordin our Notice of Commencement.
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_Signatur o 0 n r/ ssee/Agent Signat Cont ctor/License Holder
STATE F F I ST E F IDA
COUNTY St. Lucie CO * F St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_1kdayof A�ri1 20 Uby this 10 day of April 2018 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-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 Pro* Mnot&
Shpts C• NOTARY PUBLIC
Commission No. i�40TARYPUBLIC Commission N 3bRT q OF Fl-« l)
STATB OF FLORI Cam FWD
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Revised 07/15/2014 Foy�r�sr2o2o `
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS