HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 31� lz Permit Number: a it dam'd 9
a RECEIVED
Building Permit Application MAR 0 4202
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED'IMPROVEMENT LOCATION:
Address: 7 LaVilla Court Fort Pierce(CBS home)
Legal Description: East 1/2 of Section 1 Township 34S Range 39E Less North 1069.59" lyg N &W of Turnpike Feeder Rd
Property Tax ID#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTIONf OF WORK:
Install accordion shutters to eight window openings on the home.
CONSTRUCTION INFORMATION:
Additional work toa nertormed under this permit—check all that appy:
HVAC 0 Gas Tank []Gas Piping Shutters Q Windows/Doors
E]Electric ElPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
w CL
Cost of Construction:$ zy� — Utilities: Sewer Septic Building Height:
OWNER/LES$EE; CONTRACTOR:
Name Anthony&Wendy Will Name: Jeff Jackman
Address:7 LaVilla Court 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.218-750-2085 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.
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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 her 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 recgrding your Notice of Commencement.
Signatu ofIM rVcontractor as Agent for Owner 5' natu e of Contractor/License Holder
ST TE 1 STATE F FLORIDA
COUNTY OF st Lucie CO TY OF SL Lurie
The forgoing instruI�/�yen�t� _was acknowledged before me The forgoing instrument was acknowledged before me
this day of �t,4 20—U by this 1, ay of 204 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 Nota Public-State of Florida)
Sheryl D.Moore
Commission No. (Seal) q
Commis_sio o NOTARYPUBLIC (Seal)
X4. Sheryl D.Moore W =STATE OF FLORIDA
NOTARY PUBLICC-ra ?Comm#GG945237
APs
REVIEWS FRO s 1/ REVIzGG .52g37�VISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTE REVfEW EW REVIEW REVIEW REVIEW REVIEW
DATE
.RECEIVED
DATE
COMPLETED
Rev.8/2/17