HomeMy WebLinkAboutBuilding Permit Application ALL APP�LICABBL F MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , z,9—
Date ° '`� '1� Permit Number: '0
r
RECEIVED
Building Permit Application
AUG 10 2018
Planning and Development Services
Building and Code Regulation Division I ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
.PROPOSED"1MP:ROVEMENT LOCATION:
Address: 6011 Myrtle Dr, Ft Pierce, FI 34982
Legal Description: Indian River Estates-Unit 08-BLK 66 Lot 29(MAP 34/11S)(OR 1023-181)
Property Tax ID#: 3402-609-0527-000-2 Lot No.29
Site Plan Name: Block No. 66
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OE°UI/ORlC =
Installing two windows on the front of the home. The windows will be non-impact with existing
shutters.
U-Iidk IS 90 s
CONSTRUCT1t3N INFORMATION
Additionalwork toa er orme under this permit–check a appy:
HVAC 13 Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 650 Utilities: Sewer E]Septic Building Height:
O Vi1IER/LESSEE:°w° CONT'RACTOR:.
Name Susan Laventure Name: Jeff Jackman
Address:6011 Myrtle Dr Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie State:FI
Phone No.323-5778 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 ii$2500 or more,a RECORDED Notice of Commencement is required.
S.U1PPL MENTAL CSON� "TRU LIEN, LAIN IN ORNlATIflNa
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:,%uc� Name:
Address:s Address: '�
City: EtP4— State: City: Ped-$� State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add res ieme 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 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 recording our Notice of Commencement.
Signa r n ontractor as Agent for Owner Sign u o trac or/License Holder
STA FL DA STA-M OF FLORIDA
COUNTY OF stLucie COUNTY OF stLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16 day of July 20_ by this 16 day of July 20_ by
Name of person making statement Name of person making statement
Personally Known. OR Produced Identification Personally Known>—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary ublic-State of Florida ) (Signature of Notary Public-State of Florida)
Commission No. Shw.0D �al) CommissA%NoTARYPUBLIC
D.Moore (Seal)
STATE OF FLORIDA
STATE OF FLORIDA
REVIEWS T z�N NG2� SUPERVISOR PLANS Al ll 1190! VILE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17