HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���L� ' Permit Number: - oa
Building Permit Application Aermj
Planning and Development Services SF �09 p X19
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 G��y ent
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PRO.OSE°^D IMPROVEMENT�'LOCATION
Address: 46 Lagos del Norte, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part Of SEC As
Shown In OR 23890-639 Being Lot 46 Lagos del Norte(0.11 AC-4792SF)(OR 3953-1575)
Property Tax ID#:' 1301-500-0703-000-0 Lot No.46
Site Plan Name: 1 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED DESCRIPTION O,F.WORIC .
Installing seven accordion shutters on the home.
CONSTRUCTION INFORMATION: = .
Additional work to be nertormed under this permit—check all a p y:
HVAC Gas Tank F]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq..Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 2200.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE",: CONTRACTOR:
Name Edward &Donna Tarasek 'Name: Jeff Jackman
Address:46 Lagos del Norte Company: Master Craft Aluminum Products
City: Ft PierceState:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State:FI
Phone No.772-409-4141 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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL'CONSTRUCTION LIEN LAWJNFORMATIQN..
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: Port 94.6 cie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address;'�9--=Fps 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.
Sign re f er ssee/Contractor as Agent for Owner Sign re fPRI
r(License o e
S O O A STATE O
COUNTY OF str_ude COUNTY OF st Lacie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiZevA day of ttp� , I .20J5 by this 3,A day—of
c }��tprL. T 2014 by
3 f t +��/uYYtw�--
Name of person,rnaking statement Name of person�making statement
Personally Known G- OR Produced Identification Personally Known + OR Produced Identification
Type of Identification Type of Identification
Produced (� Produced
{Signature of Notary Public-State of Florida} {Signature of Notary ublic-State of Florida)
D.Moore h�D.Moore
Commission No. t* Shad S
--g jw -.- NOTARY f V Commission Na. q }
.,. ,���F. tdOTAFtY P ��
o �STATE OF FLORIDA � ` 'STATE OF FLORIDA
'z n l Comm#FFS42382
w Comm#FFI942382
`�►' Expires 1/1 5Ag 020jai to Expires 1/15!2 20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW ,REVIEW
DATE
RECEIVED
DATE
COMPLETED I
Rev.8/2/17,