HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� (('���� nn((��
Date: `Y`�n 111 Permit Number: 1-1 b3�O�-Q`c�
4? .IN±Y: RECEIVED
Building Permit Application MAR 27 2010
Planning and Development Services
Building and Code Regulation Division Permitting Department
St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION: ;.;
Address: 5906 Foxtail Way, Ft Pierce, Fl 34982
Legal Description: Palm Grove S/D Blk I Lot 10(0.12 AC)(Or 3324-2196:3732-1152,1154:3733-596)
Property Tax ID#: 3410-503-0251-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installing nine windows in five openings of the home. The windows are non-impact with existing
shutters.
CONSTRUCTION INFORMATION
Additional work to be ertormed under this permit—check all apply:
OHVAC Li Gas Tank Piping _Shutters I I Windows/Doors
n OGas
I I Electric 0 Plumbing LiSprinklers Generator I I Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
1 Cost of Construction:$ 9000 Utilities: O Sewer El Septic Building Height:
OWNER/LESSEE: . rCONTRACTOR:
Name David McDonnell/Sharon Lindgren Name: Jeff Jackman
Address:5906 Foxtail Way Company: Master Craft Aluminum Products
City: Ft Pierce State: Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie State:FI
Phone No.508-259-3729 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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable,
Name: Name:s +—
Address:5Address:
City: Ft lairrc State: City: Port sr�- . i --- 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 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 r-cordin: our Notice of Commencement.
Signatur- if O(7 Lesse: Contractor as Agent for Owner Sign. - . (. tra or/Li -nse Holder
STATE • L•RIu ° S a 0121§A'A
COUNTY OF St Lucie COUN e St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this zs day of k'PieC . ,20 Iq by this; S. day of 1'Ylevr[# ,20 15 by
3c-cP I-at/4"ar J elf J cde4.,,
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
A4e,e,•116S, PM/111A--
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Sheryl D.Macre
Commission No. -,:1•21" ,f NOTARY MANIC Commission No. (Seal)
•tl�,,S ie STATE OF FLORIDA Sh4 D.Muu e
,+ ; � Comm#FF942382 , R*,, NOTARY PUBLIC
'i� Expires (/1512020 -t STATE OF FLORIDA
REVIEWS FRONT ZONING SUPERVISOR PLANS Comm#RF942382
�`��: �AWes iffifialgeTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17