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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: Permit Number. ' �I D/O(p
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
PERMIT APPLICATION FOR: Aluminum without concrete
Address: 6571 Zapote Court
Legal Description: 06 34 39 That part of Sec being Lot 6571 (Block 72 Lot 10)
Property Tax ID #: 1306-501-1063-000/6
Site Plan Name:.
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
Infill: Screen in rear patio under truss roof on existing concrete,
AdditionalworK to be erformed under this perms
�HVAC El Gas Tank Gas P.
11 Electric E]Plumbing [:]Sprinl
Total Sq. Ft of Construction:
Cost of Construction: $
Elli9iFi . • . U
ing LJ Shutters
ars Generator
S . Ft. of First Floor: _
Utilities: Sewer - Septic
Name Michael & Catherine Santucci
Address: 6571 Zapote Court
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 516-974-3284
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No..
Block No.
QWindows/Doors
E]Roof Roof pitch
Building Height:
Name: Jeff Jackman
Company: Master Craft Aluminum Products
Address: 1634 SE Niemeyer Circle
City: Port St. Lucie State. FL
Zip Code: 34952 Fax: 335-0860
Phone No. 335-1177
E-Mail: mastercraftaluminum@gmail.com
State.or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: Applicable `
Name:
_Not
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:,
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 your Notice of Commencement.
Signat of / Le ee/Contractor as Agent for Owner
5i tu�CractAorcerise HolderSTA
E OF•. L
S
COUNTY O t wC1e
COUNTY OF St. Lucie
The for oing instrument as acl nowledged before me
=day
The for oing instrument was acknowledged before me
this of 20 by
this day of 2iiI4 by
Jeff Jackman
Jeff Jackman
Name of person making statement
Name of person making statement
Personally Known x ' OR Produced Identification
Personally Known x OR. Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- to o$Ha-61d& MOOM
t� (NOTARY PUBLIC
(Signature ARC pUj&orida )
FLORIDA
_STATE OF FLORIDA
Commission No. STA[�09
Commissm. (Seal)
Comm# FF942382
%PCE
m ,• r42382
expires 111512020
s'bce A®1�'` Expires 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