HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �_' Permit Number: )i
�o
RECEZVE17
Building Permit Application JUL 2 2018
Planning and Development Services �.
Building and Code Regulation Division ST. Lucie County, Permrc
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: 7716 Wexford Way
Legal Description: Reserve Plantation-Phase 1-Lot 58 (or 1466-1993)
Property Tax ID#: 3321-801-0058-000-5 Lot No.58
Site Plan Name: Reserve Plantation Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ..r
Installing fifteen accordion shutters on the home.
CONSTRUCTIOU INFORMATION:
Additional work to be effo—rmed under tispermit–check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑.Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 7800.00 Utilities:11 Sewer E]Septic Building Height:
OWNER/LESSEE: - CONTRACTOR:
Name John&Kathleen Harris Name: Jeff Jackman
Address:7716 Wexford Way Company: Master Craft Aluminum Products
City: Port St Lucie State:_ Address: 1634 SE Neimeyer Cir
Zip Code: 34986 Fax: City: Port St Lucie State:FI
Phone No.772-332-0068 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 LAW-INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: . s Name:Jaf*,
Addres : a Address:
City: - • State: City: �,e State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: ir 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.
'-�' "Ifv �' "-N, 'y V,
Signatur O er essee/Contractor as Agent for Owner SignaturZst
rac r icense o e
STAT O O A STAT RIDACOU OF StL��e COUNTLucie
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of 20f by this ay of 2(VL_ by
let- Iar, A-2,o— 3 e r gAdn _
Name of person making statement Name of person making statement
Personally Known V OR Produced Identification Personally Known�—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Alt&.
(Signature of Notary Public-State of Florida IMOM (Sig unat re of Notary Public-State of Florida
Sheryl D )
Commission No. (fflll,RYPUBLIC Commission No. Sheryl D. I)
STATE OF FLORIDA , TARY PR
Comm#FFg42382 STATE OF O=LORIDP
• 2 z
s Expires 1/15/232C
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17