HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
� - RECEIVED
Building Permit Application APR 2 3. 2019
Planning and Development Services ST. Lucie County, Permlttin
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 IM.PROVE-WNT LOCATION:
Address: 39 Montoya, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR2389-639)That Part of SEC As Shown
In OR 2389-639 Being Lot 39 Montoya(0.12 AC-5,227 SF)(OR3856-840)
Property Tax ID#: 1301-500-0830-000-9 Lot No.39
Site Plan Name: Spanish Lakes Country Club. Block No.
Project Name: Jordan
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK:
Installing three accordion shutters on the back lanai of the home.
CONSTRUCTION INFORMATION.
Additional work toa nertormed under this permit—check all appy:
OHVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
ElElectric ElPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3200 UtilitiesInSewer Septic Building Height:
01NNERJLESSEE: COIIITRACTOR: a
�a.
Name Willima Jordan Name: Jeff Jackman
Address:39 Montoya 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.772-460-6900 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.
a .,)PPLEMENTAL CON5TRUCTI{7N LEEN LAW INFORMATION
DESIGNER/ENGIN,EER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:wfulma-loraa.a _ Name: R-Jv�
Add ress: �t Address: llu4-�
City: Ft B State: City: Porte State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable _ BONDING COMPANY: _Not Applicable
Name: Name:
Add ress:jr-�1Qmg�er o�r 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 l 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.
Signa re f ner Lessee/Contractor as Agent for Owner Sig tur of tr or/License Holder
STA O FLORIDA STATE OF FLORIDA
COUNTY OF 5�, 1,c,,,a c COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�-5 day of_' 201 .by this_23 day of 20 by
J414 Jpw-�
Name of persgn 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 Public-State of Flori ® (Signature of Notary Pugis- t olorida)
Mme
Commission No. � OF FLORIDA Commissioj&%NOTARYFFLORD4Seal)
Comm#FF942382 " Comm#FF942382
OWL- 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17