HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O�
Date: 19 � / 1 .. Permit Numbe
n r
EIVE
JUN 1 3 2019
Building Permit Application
Planningand Develo mentServices Permittin
p g Department
Building and Code Regulation Division St. Lucie County, FL
.2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
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PROFC?SED lMFRt)1/EM;EIVT LOCATICNF
Address: 6013 Myrtle Dr, Ft Pierce, FI 34982
Legal Description: Indian River Estates-Unit-08-BLK 66 Lot 30(Map 34/11S)(OR 3810-85)
Property Tax ID#: 3402-609-0528-000-9 Lot No.30
Site Plan Name: Indian River Estates Block No. 66
Project Name: Applebee
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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Installing storm panels on okwalwi openings of the home.
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CONSTRUCTION INFORMATIC►IU a
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Add tional work toe e orme under this permit—check a appy:
-HVAC ID Gas Tank I]Gas Piping _Shutters a Windows/Doors
Electric - Plumbing -Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1950 Utilities:l Sewer-Septic Building Height:
OWNERJLESSI=E CONTRACTOR
Name Jon Applebee Name: Jeff Jackman
Address:6013 Myrtle Dr 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. 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 C0NSTRUCTI0N LIEN LAW INFORMATI{�N
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Ja-aa — Name:. r
Address: az Address:
City: Ft-� State: City: Port- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:? ieme 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.
Signa e o O er ssee/Contractor as Agent for Owner Signae 2CORIDA acto /License Holder
ST F RIDA STATE O
COUNTY OF Sk.LIAc.IC— COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this li day of 20&_ by this day of hNA,% 20t�_ by
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Name of person making statement Name of person aking statement
Personally Known_y"'_ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notar Publicc--State of§J"C))Moore (Signature of NotaW Public-State of Florida)
Commission No. " NOTARY PUBLIC Sheryl D.Moore
STA*&FLORIDA Commissi NOTARY PUBLIC (Seal)
Cornet#FF942382 STATE OF FLORIDA
E)WIres 1/1512020 Cam*FF942382
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17