HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i 1
Date: Permit Number:
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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 IMPROVEMENT LOCATION:`",'
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Address: 55 San Luis Obispo Spanish Lakes CCV
Legal Description: Spanish Lakes CCV Leasehold Estates Being Lot 55 San Luis Obispo
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
a
DEVILED DESCRIPTION OF.IIUORKV.
Install accordion shutters on openings of the home.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—cl5ecl all apply:
LIHVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric . Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3 OpU'' "t,� Utilities:�Sewer E]Septic Building Height:
OWNER/LESSEE. CONTRACTOR:
Name Kathleen Searl Name: Jeff Jackman
Address:55 San Luis Oispo Company: Master Craft Aluminum Products
City: Fort Pierce State:FL Address: 1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No.332-7708 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/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:
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.
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_Sig;4(�essee/Agent Signat e of o r ctor icense Holder
STA STATE OFF RIDA
COU St. Lucie COUNTY OF St. Lucie
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this �'/'�day of 20 j by this `/Pday of f .20 A-by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS