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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: APr Building Permit Application s �4�' 0, 10, Planning and Development Services c 10 a, Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential I PERMIT APPLICATION FOR: Shutter i PRCiPCiSE© IPRO\IEMET LCATIN, Address: 4 La Villa Way, Port St Lucie, FI 34952 Legal Description: Spanish Lakes Country Club Village Leasehold Estates(Or 2389-639)That Part Of SEC As!Shown In Or 2389-639 Being Lot 4 La Villa Way(0.12 AC)(Or3635-974) Property Tax ID#: 1301-500-0611-000-8 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION of WC►RIC 1 ..R- Installing eight accordion shutter on the home. CUNSTRUCTI ON INFORMATION Additional work to be pertormed under this permit–c ec k a y: HVAC Gas Tank 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:$ 3300.00 Utilities: Sewer —Septic Building Height: 0jj CONTRACTOR: N E R/LESSEE, 6- Name Name Edward &Joyce Harris Name: Jeff Jackman Address:53 Vernon Estates Dr Company: Master Craft Aluminum Products City: Vernon,VT 05354 State:_ Address: 1634 SE Niemeyer Cir Zip Code: 05354 Fax: City: Port St Lucie State:FI Phone No.802-258-0153 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 Commencement is required. i i i i SUPPLEMENTAL CONSTRUCTION LIEN LAW INE ATI N:"""' DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: oy� Name-4 -- Addres . Address: City: State: City: Po~-&= State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Add cess:-1634 SE Pft-7577rr 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. I Signa of Lessee/Co tractor as Agent for Owner Signatu of Cc /Licen Holder ST F IDASTAT FL COUNTY OF {- COUNTY OF S"�• +'L The forgoing instrument was a knowledged before me The forgoing instrument was acknowledged before me this day of ppT?,Qc _ 20A by this3vA day of 1`r 2019 by Name of person aking statement Name of person making statement Personally Known Z7 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 Public-State of Florida) SPRY Sheryl D.Moore Sheryl D.Moore E,� „ NO F10TA RUG Commission No. 1( €�1pUBLIG Commission No. STATE OF FLORIDA Q STATE OF FLORIDA Comm#FF942382 Canm#FF342382 KzApllt:�b it l5i2026 'I#(FW'o Expires 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I RECEIVED DATE COMPLETED Rev.8/2/17 I