HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 11a Permit Number:
ED
RECEIVE
Building Permit ApplicatiC3A� 20,19Planning and DevelopmentServices
Building and Code Regulation Division Pf- r ii%1ti9_..
2300 Virginia Avenue,Fort Pierce FL 34982 �(
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential (-
PERMIT APPLICATION FOR: Shutter
PRO0,6's- D M. PROVEMENT LOCATIC)N.
Address: 31 Lagos del Norte, Ft Pierce, FI 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 31 Lagos del Norte(0.12 AC-5,227 SF)(OR 4196-909)
Property Tax ID#: 1301-500-0692-000-9 Lot No.31
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Yaworski
Setbacks Front Back: Right Side: Left Side:
- a °
DETAILED DLSCRIPI'IC►1� 01=1NUK.
Installing Accordion shutters on the window openings of the home.
CONSTRUCTION lNflRMAT1C►N
Additional work to be nertorme under t ispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 2600 Utilities:Sewer ElSeptic Building Height:
C3INNER/L SSEE _ CONTRACTOR;
Name Melanie Yaworski Name: Jeff Jackman
Address:31 Lagos 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:FI
Phone No.607-220-7163 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: L_Not Applicable
Name: tt" Name:'Teff•Jackmari^
Addres : Address.
34 6ages del NeA.-
City: State: City: P - State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Add res . 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 sse Contractor as Agent for Owner Sign re tractor/ 'cense Holder
STAT 0 1 D ST OR
COUNTY OF � 1An�:,P COUNTY OF S 4% lire c i e,
v
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this V(day of _J&t n 20 /L) by this a') day of Jos-n u r�rt, ,20__6 by
Name of pe rs n 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
Ito
(Signature of Notary Publ -State of Florida ) (Signature of NotarV Public-State of Florida )
Commission No. Sal Commission No. (Seal)
bneryl A
NOTARY PUBLIC D.MooreSTATE OF FLORIDA NOTARY PUBLIC
V.�=V. Comm#F 942382
ANGRO
REVIEWS OW
COUNTER REVIEW ) � /ISOR PLANS VEGt��2 MREVIEWVE
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17