HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED aa
Date: 1,0•): I"/ Permit Number: 10 !0'
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Building Permit ApplicationJUN 13 2019
Planning and Development Services
Building and Code Regulation Division tting Department
2300 Virginia Avenue,Fort Pierce FL 34982 Ocie Count
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re y, FL
PERM IT APPLICATION FOR: Shutter
FROPOSED]M 'R01lEMENT LCCATIDNM'
Address: 79 Flores del Norte
Legal Description: 79 Flores del Norte(E1/2 of Section 1 Township 34S Range 39 E less N. 1069.59 ft lying
N&W of Turnpike Feeder Rd)
Property Tax ID#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name: Angell
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Installing ten accordion shutters on the home. There will be seven window and three lanai openings.
CONSTRUCTION INFORMATION. -
Additional work to be performed under this permit—check all appy:
HVAC Gas Tank 0Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers 11 Generator g Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6100 Utilities:11Sewer Septic Building Height:
C}W N E R/LESSEE ,r 'CONT
RACTOR
Name Gwen Angell Name: Jeff Jackman
Address:79 Flores 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.905-467-5390' 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.
RMATION
SUPPLEMENTAL CONSTRUCTION LEEN WU, INFO
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:09eR-- Name:Jeftle�
Add ress—.?K*--O-"� Address:.
City: - State: City: Peie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add re ss:1634 SE Niemeyer Cir 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 thepermit 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
commencin work or recording our Notice of Commencement.
Sign ur O er essee/Contractor as Agent for Owner SigKtNeCon actor/License Holder
TE LO DA ST DA
COUItt•TY OF di U4 d _ COUNTY OF c .Z.uctiC
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Vylok 20JA by this Za day of kDy- 20A_ by
Name of person aking statement Name of persona aking statement
Personally Known person
Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-Statllorl a (Signature of Notary Public-State of Florida)
Commission No. NOTARY C Commission No. t 0.NPWAV S"D.M=e
STATE OF FLORIDA ATARY PLM3U%0
Cam*Fg,42382 STATE OF FLORIDA
Comm#FFS42382
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