HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: otgB9
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Building Permit Application`/9,-'Fd,��e
Planning and Development Services nh nF
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: Shutter
PROPC►SED IMPROVEMENT LC?^CATI N
Address: 11 Florida Way, Port St Lucie, R 34952
Legal Description: St Lucie Gardens 26 36 40 That Par of BLKS 1 and 2 LYG ELY of US#1 As Shown In OR
2389-720 Being Lot 11 Florida Way(0.12AC)(OR 3166-1337)
Property Tax ID#: 3426-500-0352-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
;i
DETAILED DESCRIPTION'OF WORK:
Installing seven accordion shutters on the home in Spanish Lakes #1
CONSTRUCTION INFORMATION ,
Additional work to be nprtormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors-
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 4990 Utilities:Sewer Elseptic Building Height:,OWNER/LESSEE-CONTRACTOR.`
Name Richard&Patricia Eiseman Name: Jeff Jackman it
Address:11 Florida Way Company: Master Craft Aluminum Products �I
City: Port St Lucie State:_ Address: 1634 SE Niemeyer Cir. j
Zip Code: 34952 Fax: City: Port St lucie State:FI
Phone No.772-607-3844 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 UEN,LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
_ Name:RichName
Address:Ti on 2 Address:-1-4�
City: POASid- State: City: PoqmWacle--- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address• -a i, 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.
Signatu�o 1 n r/L ssee/Contractor as Agent for Owner Signa re' Con ract•r/License Holder -�
STATE \RIDA STAT OR
COUNTY OF _50, I.litCi COUN Ot-
The forgoing instrurrKnt was acknowledged before me The forgoing instrurpent Was acknowledged before me
this '7,o day of 204 by this 2J day of 20K by
Q 01�LMuir,� ae
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Sherh D M°0te
Commission No. Y OT _3S&qRL1G Commission No. D. al)
H M STATE OF FLORIDA NOTARY PUBLIC
a. `•yk • - n*FF9423B2 +STATE OF FLORIDA
ares 1!1 • ' �� 94238 ;l
REVIEWS FRON ZONING SUPERVISOR PLANS VEGETA i9ffilLfi/20 iQ/IANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17