HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 1' ' Permit Number:
Building Permit Application JUL 12 2018
Planning and Development Services ST. Lucie County, Permittin
Building and Code Regulation Division n
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 14019 Dalia
Legal Description: 06 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:
DfTAlLED DESCRIPTION'Of WORK: .
Installing four accordion shutters on the home.
CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing O Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$a y0 0, W Utilities: Sewer[]Septic Building Height:
OW Nf R/LESSEE: CONTRACTOR:
Name Gary&Maureen Bell Name: Jeff Jackman
Address:14019 Dalia Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:Fl
Phone No.772-766-1856 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.
SUPPtEMENTAL'CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name Name:��
Address"- � Address: •+#m9nna
City: rs State: City: P0q—%W-0e- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: i ic_ 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.
— __�V - 1�A\')"K
Signature n r/ e e Contractor as Agent for Owner Sign u oWFStLude
icense Hol er
STATE OfIFL D STA F
COUNTY OF Stt.uole COUN
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 61Aday of qIaA Zd 120L9 by this ay of 201Y by
ae f
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known k' OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Sheryl D.Moore
Commission No. NOTARY PUI(1 MI) Commission NMWA%I. Sheryl D.Moore IK (Seal)
STATE OF FLORIDA BLIC
Comrr&FF042382 STATE OF FLORIDA
r • �,m1 g 5I o20
REVIEWS FRONT ZONING SUPERVISOR PLANS VE ATIQI�I r r EA T�RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17