HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED F
Date: \� Permit Number: G
RECEIVE(
Building Permit Application JUN 2 4 2019
Planning and Development Services ST. Lucie County, Permitting
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: Window/door
P,R4POSED IN(PROVEMENT LQCATIUN: '
Address: 15 Mariposa Lane Port St. Lucie FL
Legal Description: St. Lucie Gardens 26 36 40 That part of Blks1 &2 lying ELY of US One
Property Tax ID#: 3426-500-0837-000/8 Lot No.
Site Plan Name: Spanish Lakes One Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
,DIETAILED DESCRIPTION QtNORK
Replace ten windows in nine openings of the home.
Replace front and rear entry doors.
Windows.and doors are impact rated.
CONSTRUCTION INFORMATION ,'
Additional work toa nertormed under this permit—check all appy:
HVAC 0 Gas Tank DGas Piping Shutters Q Windows/Doors
Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 11,000.00 Utilities:Sewer E]Septic Building Height:
"OW"NER/LES'S'EE CONTRACTOR`
Name Robert A.Welch Jr..&Catherine Welch Name: Jeff Jackman
Address:15 Mariposa Lane Company: Master Craft Aluminum Products
City: Port St. Lucie State:FL Address: 1634 SE Niemeyer Circle
Zip Code: 34952 Fax: City: Port St..Lucie State.FL
Phone No.219-712-1118 Zip Code: 344952 Fax: 772-335-1177
E-Mail: Phone No. 772-335-0860
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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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: 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.
Icertify 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 your Notice of Commencement.
Signatuof nlr/,Lesse /Contractor as Agent for Owner SigGaru'rkof cerise Holder
pe"�*
ST'4 OF F'WiDPL1
ATE ORIDA
S6 41
CO F st Lucie CbulqTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrumeKt was acknowledged before me
this day of QZZt:±, of
r/ &� 20J4 by this av�day U 204 by
Jeff Jackman Jeff Jackman
Name of person making statement Name of person making statement
Personally Known,x OR Produced Identification Personally Known x OR.Produced Identification
Type of Identification Type of Identification
Produced Produced
D.Moora
(Signature of Notary PuQ?e tIVOLA, (Signatur y. .. lorida
IF FLORIDA
2302 STATE OF FFILORIDA
Con"gffwl
Commission No. Expires 1/15/2020 Commis 2382 (Seal)
x res 111,
Aires 1/15/2020
4ASC Y STATE
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW -REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17