HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-14-1020 Permit Number:
Building Permit ApplicationLRECEIVED
Planning and DevelopmentServices Building and Code Regulation Division2300 Virginia Avenue,Fort Pierce FL 34982 itting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMIT APPLICATION FOR: Aluminum without concrete
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PROPOSED IMP=ROVEMENT10CATION:
Address: 1 Villa Blanca
Legal Description: Spanish Lakes Country Club Village Leasehold Estates Lot 1 Villa Blanca
Property Tax ID.#: 1301-500-1170-000/1 Lot No.
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
RETAILED DESCRIPTION QF WORK;
Screen infill: Install screen room under existing truss roof on existing concrete.
'CO NST R U CTI ON:I N'FO R M ATIO N
Additional work to be nertormed -under this permit—check all appy:
HVAC Gas Tank F]Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 10x20 SFt. of First Floor:
Cost of Construction:$ 1,400.00 Utilities:Sewer E]Septic Building Height:
QWNERjLESSEE"; 'CONTRACTQ"R:
Name Paul Manley/Kathleen Oryell Name: Jeff Jackman
Address:1 Villa Blanca 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.413-896-5869 Zip Code: 34952 Fax: 335-1177
E-Mail: Phone No. 335-0860
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.
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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:
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
cornmencing work or recording our Notice of-Commencement.
SignatUF
it
n r/Less a/Contractor as Agent for Owner Signat e c act r/License Holder
STAT I STA"F FL Rl A
COUNTY Lucie COUNTY OF s cie
The forgoing instrument was acknowledged before me The fPr�oing instru gnt was acknowledged before me
this� day of o 20-2-0 by this day of 20 SO by
Jeff Jackman Jeff Jackman
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known X OR.Produced.ldentification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary blic-State of Florida ) (Signature of Notary%Ir,r BaW iorida)
Sheryl D.Moore
Commission No. NOTARY Ppaw Commissi NOTARY PUBLIC (Seal)
STATE OF FLORIDA LORIOA
WI.;mw
Comm#GGS45237 Commit'GGM237
0 Ex ireS 1!1512024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17