HomeMy WebLinkAboutBuilding Permit Applicationr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Q 1U J < <`1'
.... Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
1PERMITAPPLICATION FOR: Aluminum without concrete
I :PROPOSED IMPRO ' l l )VT.LCaCAT1C►N. i
Address: 32 Verde Vista, Ft Pierce, FI 34951
Lesal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639) That Part of SEC As
Shown In Or 2389-639 Being Lot 32 Verde Vista (0.13 AC-5,663 SF)(OR 4235-1038)
Property Tax ID #: 1301-500-1147-000-1 Lot No. 32
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Jamkowski
Setbacks Front Back: Right Side: Left Side:
(DETA`ILEb DESCRIPTIC+N :C+F iNC1RK: R
Installing a screen room (on the front and back of the home) infill under the existing truss roof of the
home.
t71l�tNR/LESSEE CflNTRACTtJR;
Name John Jankowski Name: Jeff Jackman
Address: 32 Verde Vista 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. 631-553-3095 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.
Sl1PPLEMENTAL CONSTRUCTION: LIENi;LAW'INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: anowsk1
Add ress: 32 34951
MORTGAGE COMPANY: _ Not Applicable
Name: aJeTrScm-irT
Add ress:
City: Partact— State:
Zip: Phone:
City: Fs— State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:.
Zip: Phone:
City:
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 your Notice of Commencement.
ner/ L ssee/Contractor as Agent for Owner
SZXL
o tract /License Holder
SO A
ZTiVILORIDA
COUNTY OF } . 1.�.�,`t,
COUNTY OF L
The forgoing instrument was acknowledged before me
this day of ITliv-1,20 by
The forgoing instrument was acknowledged before me
this day of �I �^1 .20_a by
J -e 4-f .J
5�
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known FOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public -State of Florida)
(Signature of Notary Public- State of Florida )
ShwA D. Mere
Shm-)4 D. Moore
Commission NOTARY PUBLIeaI)
Commission N NOTARY PUBLIC(Seal)
_ STATEF FLORIDAR
STATE OF FLORIDA'
,r cornrn# FF942382
Ma 411512090
t. Carp*FF942382
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Iev. 8/2/17