HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t3-i Li-\g Permit Number: t 81' - O-- -3-?-...,,
RECEIVED
aN o.: e .a DEC 1 4 2010 I
Building Permit Application Permitting Depe mAnt
Planning and Development Services St. Lucie County
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
PROPOSEDIMPROVEMENT LOCATION:
Address: 43 Grande Vista, Port St Lucie, FI 34952
Legal Description: Section 26 Township 36 Range 40 (43 Grande Vista)
CBS home previous manufactured home lot
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: Spanish Lakes One 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 -
Additionalnwork to be�erformed under this permit—check all apply:
[1HVAC _ Gas Tank EilGas Pipingx Shutters a Windows/Doors
I I Electric D Plumbing El Sprinklers n Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3800.00 Utilities: Sewer El Septic Building Height:
OWNER/LESSEE CONTRACTOR: •
Name Beverly Conderino Name: Jeff Jackman
Address:43 Grande Vista Company: Master Craft Aluminum Products
City: Port St Lucie State: Address: 1634 SE Niemeyer Cir
Zip Code: 34952 Fax: City: Port St Lucie State:FI
Phone No.772-834-2455 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 j
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. ' ° i`
DESIGNER/ENGINEER: I Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:J844406103a12-,_
Address: 52 Address: 4B-e,affeie-vb
City:- c State: City:
State:
Zip: Phone Zip: Phone: I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: I
Address. Address:
City: City:
Zip: Phone: Zip: Phone:
I
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 sLch
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 1
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.
�� __
Signat. ."• �r/Le•see/Contractor as Agent for Owner Signat. o facto License Holder
STATE •F FLORIDA STATE OF •RIDA
COUNTY OF St lucre COUNTY OF St Lucie
The forgoing instrumen was acknowledge, efore me The forg
ing instrument was acknowledged before me.
this / it day of P�n,.li� ,20 1r by this / Yday of ,20/V by
0-e iatcbmu.— J P,cI GrP —
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
�,O,A ,��
(Signature of Notary PLblic-State Qf F�_1o�b1cere (Signature of Notadfy Public-State of Florida)
•r,
�rn S D.Moods
Commission No. jY`'�,., NOTAF Y (BUC Commissio a ,:;:p . _ _BUC (Seal)
'_"' 1 STATE OF FLORIDA -Ain. '
}. {'�"��+'°Comm#FF942382 :_STATE OF FLORIDA
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t: Expires 1/15/2020 , j,.®• Comm#FF942382
• Expires 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
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