HomeMy WebLinkAboutBuilding Permit Application r S
MUST DE COMPLETED FCR APPLICATION TO BE ACCEPTED
i.
it Date: 1 ' 1� u Permit Number:
I •
-J - -
a RECEIVED
_. . _ Building Permit Application JUL 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 = -
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: 6231 Alexandria Circle
Legal Description: Palm Grove S/D Block TL Lot 7
Property Tax ID#: 3410-503-0345-000/2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install accordion shutters on 10 openings
CONSTRUCTION INFORMATION:
Additional work toe e orme under t -checkispermit all hatapply:
HVAC ff Gas Tank Gas Piping LJ Shutters a Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5,800.00 Utilities:11 Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michael & Minnie Knezevich Name: Jpff Jackman
Address: 6231 Alexandria Circle Company: Master Craft Aluminum Produc
City: Fort Pierce State: FL Address1634 SE Niemeyer Circle
Zip Code: 34982 Fax: City: Port St. Lucie State: FL
Phone No. 785-9755 Zip Code:34952 Fax: 335-0860
E-Mail: Phone No335-1177
Fill in fee simple Title Holder on next page (if different E-Mail aGternraftaI min, M@ Mai 1 com
from the Owner listed above) State or County License: SCC131.150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
��� : .► i'v i:tiL COiV'STkVC i"ON LIEN LAW INFORMATION:
E: -<<=iE %r1uGiNEER: Not Applicable MORTGAGE COMPANY: Not Applicable
i; NP.,je: _ Name:
Address: Address:
city. State: City: State:
Phone: Zip: Phone:
11 EEE S APLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
'Name: _ Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencemeint may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before-the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin work or recording our Notice of Commencement.
s
_Sign u wn /Lessee/Agent Signatur o a or/License Holder
STA F A STAT F
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2joL day of June 20 1$by this qday of June .20 18 by
Jeff Jackman s 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 r u� d Identification
Type of Identification Produced Type of Identif, Pr �'
Sheryl 0.MiRim
NOT
Commission No. � YPUBLIC
Commissio STATE OF FLORID eal)
3TATTOF FLORIDA Cain 942382
Caapt*FF942382 o EWres 1115/2020
Expires 1/15/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
IN ITIALS