HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q-7 ) Permit Number:
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Building Permit Applicatio
Planning and DevelopmentServices SEP 7 201$
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ittin ] DepEirtment
Phone: (772)462-1553 Fax: (772)462-1578 Commercial �ti -11
Lir FL
PERMIT APPLICATION FOR: Shutter
PROPC►SED T11,
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Address: 6621 Gaviota
Legal Description: Spanish Lakes Fairways Block 38 Lot 9
Property Tax ID#: 1306-500-0024-000/1 Lot No.9
Site Plan Name: Spanish Lakes FAirways Block No. 38
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION C►F WORK f
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Install accordion shutters to seven openings per diagram.
CQNSTRUCTIQN INFORIUTATIOIU
_
Additiona . . .-
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work toe nertormed under this permit—check a i appy:
HVAC 0 Gas Tank F]Gas Piping Shutters Windows/Doors
11 Electric ElPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 7,400. Utilities:Sewer E]Septic Building Height:
6W'N E R/LESSEE CONTRACTOR
Name George—& Roberta Stikshir. Name: Jeff -Jackman
Address: 6621 Gaviota Company: Master Craft Aluminum Products
City: Fort Pi ecce State:FL Address: 1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No.772-489-8669 Zip Code: 34952 Fax: 772-335-1177
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.
SUPPL€MENTAL CONSTRUCTION LIEN LAW IN, ORMATION 'F
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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.
Signature o /L ssee/Contractor as Agent for Owner Sign=oonractor/License Holder
iSTATE FLORIDA STARIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 29 day of August2019 20— by this 29 day of August2019 20_ by
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pu lic-State of Florida ) (Signature of.Notary Public-State of Florida)
Sheryl O.Mose
Commission No. Commission RYPUSUC (Seal)
NOTARY PUBU.0STATE OF FLORIDA
STATE OF FLORIDA a Comrn#FF942382
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REVIEWS FRONT. �N Ire$ 1989ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17