HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date: �" � Permit Number:
Building Permit Appli orfi
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Planning and DevelopmentServlces raj 4�, crrq oz®
Building and Code Regulation Division �d1'b
2300 Virginia Avenue,Fort Pierce FL 34982 ' ��� CoU Q4F
Phone: (772)462-1553 Fax:,(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Window/door
PROPi�SED IIVIPROVEME11ITaLOCATIO
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Address: 652 Senegal Ct, Ft Pierce, FI 34982
Legal Description: Palm Grove S/D BLK C Lot 20(0.11AC)
Property Tax ID#: 3410-503-0088-000-2 Lot No.20
Site Plan Name: Palm Grove Block No. C
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D SCRIPTI0N,9F /ORI(
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Replacing 9 windows in 6 openings of the home. Hurricane Protection is existing.
CtJN5TRUCTIUN INFORMATION
Additional work to be nertormed under this permit—check all apply:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator E] Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4100.00 Utilities:Sewer O Septic Building Height:
C NER/LESS)=E t
CONTRACTOR
Name Richard Perry Name: Jeff Jackman
Address:652 Senegal Ct Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie State:Fl
Phone No.231-510-1500 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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name.'.Riehardee�. Name:Je*-,in�
Add ress:6 Address: s nega t
City: F P State: City: Portstuueie- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add re ss:1634 SE Niemeyer Cir 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.
Sig�a4turew /Lessee Contractor as Agent for Owner Signa of C ac rise Holder
ST DA S FL RIDA
COUNTY OF 64% 1A�t- COUNTY OF
The forgoing instrument��wasacknowledged before me The forgoing instrument was acknowledged before me
this day of V I _WZ'p1 1201.4 by this L day of — ,2010 by
Name of person making statement Name of persorymaking statement
Personally Known ✓ OR Produced Identification Personally Known ! OR Produced Identification
Type of Identification Type of Identification
Produced Produced
41' • h'Z'V�
(Signature of Notary Public-State of Florida (Signature of No�&%'NOITAIRY
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01' o Sherd D.Maore� PU ICommission No. Q 1?:,:4' �' N Commission No. TE OF
gTgTE OF FLORIDA
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Comm#GG945237 GG945237
JruqnM xpires 1/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17