HomeMy WebLinkAboutBuiding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: k t'e J- i k- ; Permit Number: 'a 0 !C3 619._
c m;
Go1NT�Y : ,
R o a RECEIVED
Building Permit Application
Planning and Development Services OCT 25 2018
Building and Code Regulation Division Permitting pePart
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Cour mens
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION
Address: 16 Espanola I
Legal Description: St. Lucie Gardens 26 36 40
Property Tax ID#: 3426-500-0309-000/8 Lot.No.
Site Plan Name: Spanish Lakes One Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Install accordion shutters to cover six windows and one
sliding glass door.
CONSTRUCTION INFORMATION
Additional work to be ertormed under this permit-check all apply:
P HVAC Gas Tank IIIGas Piping Windows/Doors
p g _Shutters Q
Electric El Plumbing Sprinklers El Generator 1=1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,000.00 Utilities: Sewer El Septic Building Height:
OVVNER/LESSEE CONTRACTOR:
Name Loralee Flood Name: Jeff Jackman
Address:16 Espanola Company: Master Craft Aluminum Products
City: Port St. Lucie State:FL_ Address: 1634 SE Niemeyer Circle
Zip Code: 34952 Fax: City: Port St. Lucie State:FLS
Phone No.401-332-4604 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: 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 1
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 anattorney before
commencing work or recording your Notice of Commencement.
Signatu --1:17:(41/esse- Contractor as Agent for Owner Sign ,,jj,�(;, -:-/License Holder
STA OF to STATE i' "-d 'IDA
COUNTY • - uC1e COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 24 day of October ,20 pby this 24 day of October _ ,20 hi by
Jeff Jackman Jeff Jackman
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 Public-State of Florida ) (Signature of Not ry Public—State of Florida)
• Sheryl D.Moore Sheryl D a�1�
Commission No. ;rte : NO1(AR )PUBUC Commission No ll NOTARY Sheryl
i,
•
STATE OF FLORIDA 7�`�
Comm#FF942382 •
STATE OF FLORIDA
Expires 1/15/2020 ...�,.- Coma+ FF942382
: Evires 1/15/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED -
Rev.8/2/17