HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT L0CATION
Address: 6 Peru
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part Of SEC As Shown
In Or 2389-639 Being OT 6 Peru(0.20 AC-8712 SF)(Or 4241-1889)
Property Tax ID#: 1301-500-0879-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION OF,WORK.
To install a screen infill on the back of the home under the existing truss roof.
CONSTRUCTION "i�UFORMATtO°N.
Additional work to be nertormed under this permit—cher a appy:
HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
11 Electric Plumbing Sprinklers 11 Generator g Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1200.00 Utilities:Sewer F—]Septic Building Height:
OWNER/LESSEE: :' CONTRACTOR:
Name Peter Kafigian Name: Jeff Jackman
Address:6 Peru 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.757-710-4069 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 g Commencement is required. �-5�
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:-PA-KafieL-, Name:Aff Ta-c Mar
Address:_w Address: s-ftu-
Clty: Fie State: City: Port&Lvcie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:4saas� EN Cir 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 reco in our Notice of Commencement.
SigareO) er/Les Contractor as Agent for Owner natu e f ntractor/L ense Holder
CFL
OST � � STA TY OF
The forgoing instrument was acknowledged before me The forgoing instru nt was aFknowledged before me
this ,vA day of 'Dtg, -kt- 20 M' by this 3rAlay of la 20_!� by
0-f F 3G�k4l 3-e
Name of personmaking 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 Pu lic-State of Florida ) (Signature of Notary Public-State of Florida)
t�Y ShWA D•MWO
Commission No. OTAR`K -IC Commission No. (Seal)
STATE OF FLORIDA oo
1 Sh"D.Mre
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NOTARY PUBLIC
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REVIEWS FRONT ZONING SUPERVISOR PLANS fEORTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW W Ir 1A§qW REVIEW
DATE
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RECEIVED
DATE
COMPLETED
Rev.8/2/17