HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED hh
Date: 31 Permit Number: �V .
.J RECEIVED
Building Permit ApplicatiolVAR 18 2020
Planning and Development Services Permitting 96Pa lnphr
Building and Code Regulation Division St.Lude County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATICIN:
Address: 518 Banana Ln, Ft Pierce, FI 34982
Legal Description: Palm Grove S/D BLK J Lot 35(0.12 AC)(OR 3892-569;571)
Property Tax ID#: 3410-503-0287-000-7 Lot No.35
Site Plan Name: Palm Grove Block No. J
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK71
Replacing 11 windows in 8 openings of the home. Hurricane Protection is existing.
[:CONS�TRCT!gN 1NFORMATI 0N
Additional work to be pertormed under this permit check all appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 5200.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
e
CONTRACTOR:
Name George Gonder Name: Jeff Jackman
Address:518 Banana Ln Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie State:FI
Phone No.908-358-6341 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$25od 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
Na m e: — Na m e:def jeeifmae
Address Address: anana
City: Ft Pierce State: City: P�ct-&tIIt 1 State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: - ieme x_ 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
commencing work or recording our Notice of Commencement.
Signatur er/Lessee Contractor as Agent for Owner Si ature f o ractor !cense Holder
ST TE RIDA STATE LORIDA
C TY OF + l'�'�'��' {- COUNTY OF 94-,
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this J 1 day of 20-U by this I day of 20U by
a 4
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 P - t J; BLIC (Signature of No c-§ Of I�Wda)
NOTARY PUBLIC
Commission No.
STATE
omrn#GGa945I-2370A Commission No°� *'STATE OF FLOf88J)
Comm#GG945237
Expires 1/15/2024 Expires 1/15/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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