HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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. �..__'._. "�..��•_ ___ RECEIVED
Building Permit Application
Planning and Development Services SEP 20 1019
Building and Code Regulation Division Perm1
ttingartm
2300 Virginia Avenue,Fort Pierce FL 34982 St. L Dep
ent
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED 1MPROVEMENT LOCATION:
Address: 14464 Isla Flores Ave, Ft Pierce,Fl 34951
Legal Description: 06 34 39 That Part Of SEC As Shown In Or 2380-1934 Being Lot 14464 Isla Flores(BLK 30 Lot 20)
(0.14 AC)(OR 4073-517)
Property Tax ID#: 1306-501-0487-000-7 Lot No. -
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
61E, ED DESCRIPTION a 1NORk
Installing three accordion shutters on the lanai area.
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CONSTRUCTION INFORMATION,,,"y
Additional wor to be performed under this permit—check 4
all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing 0 Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3600.00 Utilities: Sewer E]Septic Building Height:
OVt/NER/LESSEE .CONTRACTOR:
Name Patricia Ann Stephens Name: Jeff Jackman
Address:14464 Isla Flores Ave 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.772-595-1681 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 CON ST RUCTI
ON.LIEN LAW INFORMATIC3Itil
v � �.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:PatrlciaA Namerje *
Address:14^sa isia FlcresAva F1 Dierru FI 44851 Address:
City: Ft Pierce State: City: +- 1e- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address•na� Address:
City: City:
Zip: Phone: Zip: Phone:
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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.
Sign"OF
n /Less /Contractor as Agent for Owner Sign tGre o o tractor/License Holder
STARIDA ] � � � STATE O�FI RIDA
COUNTY OF �, tC�/-e. COUNTY OF S-J-, (-LZC —Z
The forgoing instrument was ackriowledged before me The forgoing instru ent knowledged before me
this 2,Z) day of 204 by this 2O day of '2011 by
Name of personmaking statement Name of person making statement
Personally Known ✓✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida) i
Commission No. V NOTAFt�P�C Commission N Sheryl D.RAoorY3 (Seal)
o PUBLIC
c STATE OF FLORIDA ' STATE OF FLORIDA
Ccmrng FF942382 Cam TA IFE942389
resREVIEWS FRONT ZONINGI SSU SUPERVISOR PLANS VEGETATION SEExpires A/TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17