HomeMy WebLinkAboutBuilding Permit Applicationi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2 q
Date: a I~3,1`1 1 Permit Number: 0 i---- 0R0
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Building Permit ApplicationR�CEIVFG j
JAN 3 1101g
Planning and Development Services Pormlttgn�oo a
Building and Code Regulation Division St
Lucie coungent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete
,
PROPOSED IMPROVEMENT LOCATION:
Address: 13953 Geranio
Legal Description: 06 07 34 39 All that part lying NELY of I-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: Spanish Lakes Fairways Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installing a screen infill on the back of the home under the existing truss roof.
CONSTRUCTION INFORMATION
Additional work to be erformed under this permit–check all- apply:
I n(HVAC Gas Tank Gas Piping _Shutters I 1 Windows/Doors
0Electric E Plumbing ,Sprinklers I-1 Generator El Roof , Roof pitch
Total Sq. Ft of Construction: Sc. Ft. of First Floor:
Cost of Construction:$ 2-/ov , 0'0 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE:` : CONTRACTOR:
Name Cot?0 Name: Jeff Jackman
Address:13953 Geranio Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax:772-335-0860 City: Port St Lucie State:Fl
Phone No.917-974-2056 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:J ac »—
Address: .3k ato Address: 92BL3Cc.a.ne
City: . State: City: Pori ct r urin State:
Zip: Phone Zip: Phone: I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Add ress: 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 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.
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Signatur o.O see/Contractor as Agent for Owner Si:'- e 0 ontra or/License Holder
STA E O RIDA . E • LORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged
�before me
this 3o day of 9t14/441,— ,20/t/ by this SDday of ,20j by
€ Tacb -,./ je`i- Tac
Name of person making statement Name of person making statement
Personally Known ' OR Produced Identification_ Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary State of Florida ) (Signature of Notary Pb6Iic-State of Florida)
Commission No. S� Commission ..,, . °vS '` 1eue (Seal)
- 'F., NOT BLIC r�`rr;�= a= •IMICLIC
u/` _4 STATE OF FLORIDA .` ag / g pA
• +Comrrd#FF942382 �"`J %' 89
",c • Expires 1/15/2020 "-.1•, rExig1 ft.7'ii1120
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION— SEA TI RILE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED 1
DATE
COMPLETED
Rev.8/2/17
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