HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO
(MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: TIC). 1 lT Permit Number:
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Elix RECEIVED
Building Permit Application
Planning and Development Services JUL 10 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT,LOCATION.
Address: 37 Ipanema Way, 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 37 Ipanema Way(0.12 AC-5137SF)(OR 3630-1126)
Property Tax ID#: 1301-500-0479-000-0 Lot No.37
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Vinas
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTICIN 0F.W0RK:
Install seven accordion shutters on the home.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2350 Utilities: Sewer ElSeptic Building Height:
011UNER/LESSEE: CONTRACT0
R
Name Susan Vinas/Jane Dudas Name: Jeff Jackman
Address:37 Ipanema Way Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax:772-335-0860 City: Port St Lucie -FI
Phone No.954-699-.8456 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,CONSTRUCTION LIEN LAW IN:FpRMATIC3_N
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: u5 Name. a 5-
Add ress:37 4951 Address
City: iePFF erce State: City: POq-%t-L—t-- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:16Address:
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
commencing work or recording our Notice of Commencement.
k
re ner/ sse / ntractor as Agent for Owner Si natur of Contractor/License Holder
ATE RI STATE OF FLORIDA
CO TY SA COUNTY OF
The fArgoing instrument was acknowledged before me The for
instrument was acknowledged before me
this day of 'j-{ 2015 by this� day of �/,t•,,_,� 20K'7 by
Name of person making statement Name of pra making statement
✓
Personally Known ` OR Produced Identification Personally Known 1/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
A4utL,4� h/�v� lJ4V14
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Sheryl D.Moore
Commission No, NOTARY I?WPLIC Commissio Sheryl D.Moore (Seal)
Q, STATE OF FLORIDA eTAR,'PUBLIC
Comm#FF942382 STATE OF FLORIDA
Comm#FF942382
t:A• Expire;1/15/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW.
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17