HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rI
Date: '3 1
i';j " Permit Number: `e i U j D2)RE IVSD
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Building Permit Application Permitting Department
St. Lucie County
Planning and Development Services
Building and Code Regulation Division
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: 27 Arboles del Norte, Ft Pierce, Fl 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part of SEC As Shown In Or
2389-639 Being Lot 27 Arboles Del Norte(0.12 AC)(OR 3881-1378;1379)
Property Tax ID#: 1301-500-0022-000-2 Lot No.27
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Installing three accordion shutters on the back of the home to enclose the lanai.
CONSTRUCTION INFORMATION: n .
Additionalnwork to be pertormed under this permit—check all that apply:
[1HVAC _Gas Tank ElGas Piping Shutters I l Windows/Doors
1 Electric 0 Plumbing El Sprinklers El Generator I Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3800.00 Utilities:HSewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Arthur Grantham Name: Jeff Jackman
Address:27 Arboles del Norte Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:Fl
Phone No.315-440-9121 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:A.u,,.,Oidnthdni- Named
Address: Address:J7 At .=-Afal"loge- it
City:. -P-a6e State: City: p qt 1 State: 11
Zip: Phone Zip: Phone: i[
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable)
Name: Name:
Add ress: Address:
City: I 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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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 your Notice of Commencement.
/
Si: ao r/Lessee/Contractor as Agent for Owner Si ofetractor/License Holder -
ST. . FLORIDA STAT •F FLORIDA
COUNTY OF Stiude COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '' day of . _ ,20)g by this )`f day of /2A-/-P-4--/c,.. ,20 (d by
i e4'tr- -3-01JT10- , eP-C ,30aka -
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 Notar Public-State of Florida )
y Sheryl D. Sheryl D.Moore
Commission No. �,_, )) Commi .: ,,, -
-r -. • •TORY Mili1C , . - (Seal)
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STATE OF FLORIDA F. STATE OF FLORIDA
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.Co #FF942382 1+w'-l+,� Comm#FF942382
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• Expires 1/15/2020 '`' ,1 Expires 1/`5/2020
REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17 1