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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE'INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �.(� Date: Permit Number: I .©l�'`'( 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 PROPOSED ItUIPROVEMENT LOCATION: Address: 59 Las Casitas, Ft Pierce, FI 34951 Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR2389-639)That Part of SEC As Shown In Or 2389-639 Being Lot 59 Las Casitas(0.12AC-5227 SF)(Or 4052-1335) Property Tax ID#: 1301-500-0776-000-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETi411:ED DESCRIPTIOW-0,F;WOR Install nine accordion shutters on the home. [CONSTRUCTION INFORMATION. Additional work to be nertormed under this permit—check all apply: I]HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors 0 Electric Plumbing Sprinklers n Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 6000.00 Utilities:Sewer El Septic Building Height: OWNER/LESSEE: CONTRACTCIR: Name John&Susan Roger Name: Jeff Jackman Address:2 Val de Mar Dr Company: Master Craft Aluminum Products City: Hopewell Junction State:_ Address: 1634 SE Niemeyer Cir Zip Code: 12533 Fax: City: Port St Lucie State.FI Phone No.845-380-9143 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. S1JR" EMENTAL:CONSTRUCTION,LIEN LAW INFCORMATI01 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Inhn& so Name:jaa gym_ Add res . ­-R-ue54— Address: City: State: City: PcA_'4-oe State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Add ressi• 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. _--1, \ Signature • 0 er/Les ee/Contractor as Agent for Owner Signattur�o r� ra(ctor License Holder STATE-OF FL RIDA STATE-OF RIDA COUNTY OF St Lucie COUNTY OF St Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 5-11"day of /A)b r'20 by this M day of 1U,1.►4,,,-� 20 11 by 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 Sf�Florriida (Signature of_Notary Public-State f Flo ida) S9W D.l4�coos Commission No. M NOTAR"WLIC Commission No. r ' NOTARY PU aa�� STATE OF FLORIDA ATE OF FIL RIDA Comm#FF042382 Comm#FF942382 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED- Rev.8/2/17