HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C
Date: Permit Number: �� r
� & � RECEIVED
.. .......... ...... Building Permit Application NOV06 2019
Planning and Development Services Permitting De
Building and Code Regulation Division St. Lucie Coantyent
2300 Virginia Avenue,Fort Pierce FL 34982 .
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
FRCrPOSED I1 PROVEMENT LOCATIt N47
t
Address: 7,Rio Verde Way
Legal Description: St. Lucie Gardens 26 36 40 Being Lot 7 Rio Verde Way
Property Tax ID#: 3426-500-1251-000/3 Lot No..
Site Plan Name: Block No.
Project Name:
Setbacks ,Front Back: Right Side: Left Side:
DETAILED DESCR i3-r101 OF WORk .
Install three accordion shutters on rear lanai.
CONSTRUCTION.IN FORMATION
Additional work to be nertormed under this permit—check all apply:
F]HVAC Gas Tank Gas Piping �_Shutters Q Windows/Doors
Electric Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 3,500.00 Utilities:]Sewer[]Septic Building Height:
UVNER/LES (± CONTRACTOR:
Name John R. &Karen S.Schachel Name: Jeff Jackman
Address:7 Rio Verde Way Company: Master•Craft Aluminum Products
City: Port St. Lucie State:FL Address: 1634 SE Niemeyer Circle
Zip Code: 34952 Fax:, City: Port St. Lucie State:FL
Phone No.732-221-3570 Zip Code: 34952 Fax: 335-0860
E-Mail: Phone No. 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.
.^�.., ggI- 3}�'^�' +;��q9;..,aTq}�( Mig{ ,- -r,. -- -M 3:;
R3. '�5—' Td Y i-..i alT:.l .i�yNg
� 3i� �+�^ 'S` —'F �'h
DES[GNER/ENGINEER:� Not Applicable MORTGAGE COMPANY: —Not Applicable
Name: 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
commencin work orrecording your Notice of Commencement. .
i
Sign �uref 12A
ssee/Contractor as Agent for Owner 5i .atu f Contr ctor/License Holder
ST STATE FLORIDA
COUNTY OF St Lucie COUNTY OF St Lurie
The forgoing in strum nt was acknowledged before me The forgoing instrument was acknowledged before me
this '0, day of 20(11� by this 1§1�\day of 00 20A 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-State of Florida ) (Signature of Nota Public-State of Florida)
4 Sheryl D.Moore S�yl p.Moore
Commission No. a NOTARt$I*}6LIC Commission No 0.e 6T4lRYPUBLI�eal)
STATE OF FLORIDA STATE OF FLORIDA
CMMW FF942382 w Comm#FF942382
1/15 020 cr t E ices 1/15/2020
REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17