HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II
Date: ���'�� Permit Number:
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Building Permit Appl'icatilj,. QFC
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Planning and Development Services
Building and Code Regulation Division v�'e clo&
2300 Virginia Avenue,Fort Pierce FL 34982 o4n�Pnt
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: Shutter
PRt7PCSED_
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Address:
Address: 8 Rio Verde, Port St Lucie, FI 34952
Legal Description: St Lucie Gardens 26 36 40 That Part of BLKS 1 and 2 LYG ELY of US#1 As Shown In Or 2389-720
Being Lot 8 Rio Verde Way(0.11 AC)(OR3540-1562) it
Property Tax ID#: 3426-500-1252-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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D TAILE
"DESCRIPTIO 5 ".
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To install five accordion shutters on the home.
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CONSTRLIM INFORMATION
Additional work to be nertormed under this permit—check a p,y:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
0 Electric Plumbing Sprinklers Generator Roof Roof pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2200.00 Utilities:Sewer El Septic Building Height:
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OUVNERA
LESSEE ;. CONTRACTOR
Name Joan Johnson Name: Jeff Jackman
Address:8 Rio Verde Way Company: Master Craft Aluminum Products
City: Port St Lucie State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34952 Fax: City: Port St Lucie State:Fl
Phone No.772-380-2107 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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atJPPL€MENTAL=;CONSTRU,CTION IEN LAW INFORMATICiN
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Joan,lnhn� Name:
Address:s Ri -Je,P^G•'„6.e r"49 Address: w�—
City: PorLW."e State: City: Port sttncte State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: EN mover fr 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 thepermit 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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Signa re ner see/Contractor as Agent for Owner Lgnatur f tr er I
S TE A
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CO Sk• lM/G�� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 'YvAkiay of tl bi./ ,2011") by this 32�/lday of CA.-A+r 201' 9 by
J e SAS rL � e J uAt,�--�
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 of FI%1WD Moore (Signature of Notary blic-State of Florida)
Commission No. ,1� {�Y PUBIC Commission No. STI D.//
r SATE OF FLORIDA a NOTAR4 (MIC
n o Comae#FF942382 STATE OF FLORIDA
15/2020 Comm#FF942382
Wy expires 1/1 2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED j
Rev.8/2/17 i