HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater Permit Number: �VO Q/ ,b(o
Building Permit Application per 0?419
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2300 Virginia Avenue,Fort Pierce FL 34982
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
'PR 00
5ED I(VIPROVE MENT:lOCATIC}lU
Address: 58 Flores del Norte, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part of SEC As Shown In
Or 2389-639 Being Lot 58 Flores del Norte(0.13 AC-5514 SF)(OR 3533-2560)
Property Tax ID#: 1301-500-0380-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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OE'TAILED' DESCRIPTION-t3F71
Installing three accordion shutters on the back lanai room.
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CONSTRUCTIQN INFORMATION
Additional work to be nertormed under this permit—check all appy:
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0HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2275.00 Utilities: Sewer ElSeptic Building Height:
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OWNERJLESSE CONTRACTCtR
Name John&Andrea Lawrence Name: JeffJackman
Address:58 Flores del Norte Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St lucie State:FI I
Phone No.772-467-9335
Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in feesimple 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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SUPALEMENTAL:CONSTRLICTIOMLIEN LAW INFORMATICiN
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable!
Name:Johe.8 ad— — Name:.,�,� „�
Add Add ress:-5&4W--W+taKe
City: F.LPie State: City: Portsumip— State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable,
Name: Name:
Address:4&u 5����� 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 s 1 ch
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. I
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.
ISN(
Signa r f=ORIDA
ssee/Contractor as Agent for Owner S' natu ! C•ntrati or/License Holder
STA E�OF S%TA A
COUNTY OF _Sj_, UAe, 2t COUNTY OF -Sfi, Lt-c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20� by this 'U day of SZX_4e A4r ,20 11� by .
Name of person ryiaking statement Name of person aking statement
Personally Known ✓ OR Produced Identification Personally Known t�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-Stats off F18r � (Signature of NotaryPublic-�19f a)
QY NOTARY IC NOTARY PUBLIC
Commission No. �A Commission No I
a STATE O FL RIDA OF FLOS®�+�
V, Comerd�FF942382 Comm#FF942382
4141r; 20 ww
E)mires 1/15/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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