HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((� I
Date: Permit Number: �j®J
•
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: Shutter
PRPCISED IIti%1PRCIVME T LOCATItN °�
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Address: 6700 Dulce Real, Ft Pierce, FI 34951
Legal Description: 06 34 39 That Part of SEC As Shown in or 2380-1934 Being Lot 6700 Dulce Real (BLK 63 Lot 1)
(0.11 AC 4792 SF)(OR 4052-1201)
Property Tax 1D#: 1306-501-0768-000-1 Lot No. 1
Site Plan Name: Block No. 63
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION"O WC1RK ql,"
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Installing seven accordion shutters on the home.
CONSTRUCTIQN INFORATIQN A ,_
Additionalwork toe nertormed under this permit—check all appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters ❑.Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3000.00 Utilities: Sewer Septic Building Height:
OWNER LESSIrE CONTRACTCtR01
Name Lana McCullough Name: Jeff Jackman
Address:6700 Dulce Real 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.772-465-9915 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;CONSTRU&ION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: adetP7 cor --
Address. � Address:— ems
City: State: City: Po^ce i..aie 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
commencin work or recording our Notice of Commencement.
Signat e onFLRl
ee/ n actor as Agent for Owner Signa re C r cense Holder
STA OS TECOUN COUNTY O St Lucie
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this_!M day of IQ 6 20A by this iEday of_ �Z 20115_ by
ND -CA ,.TUGS-mom ��2 ��
Name of person making statement Name of p on making statement
Personally Known i,- OR Produced Identification Personally Known j,,� OR Produced Identification
Type of Identification Type of Identification
Produced ( Produced
(Signature of Notary Public-State of Florida ) (Signature of Notary P61 lic-State of Florida)
Sheryl D.Moore
Commission No. TgRYP( �� Commission N SherA D.Moore (Seal)
o ' STATE OF FLORIDAim
NOTARY PUBLIC
00=4 FF942382 STATE OF FLORIDA
*40MY4 I Expires 1/15/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS S
VE IC ° E1Q1 { WE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17