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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ©( O� RECEIVED - PEAR 2020 Building Permit Application9 Department rittiri Planning and Development Services St.Lucie roiint) 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: Aluminum without concrete i PROPOSED IMPROVEMENT LOCATION; ' Address: 5 Danzar Fort Pierce Legal Description: East 1/2 of Section 1 Township 34S Range 39E less N. 1069.59' lying N&W of Turnpike Feeder Rd/ 5 Danzar(New CBS home) 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: DETAILE'D DESCRI:PI'ION.OF WORK Infill: Construct screen room on existing slab under existing truss roof. CONSTRUCTION INFORMATION v Additional work to be nertormed under this permit—check all appy: HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers 11 Generator E]Roof Roof pitch Total Sq. Ft of Construction: 200 S . Ft.of First Floor: Cost of Construction:$ 1,800.00 Utilities: Sewer ElSeptic Building Height: i OWNER/LESSEE: CONTRACTOR: _ . Name Jim&Joyce Foley Name: Jeff Jackman Address:5 Danzar 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.569=7476 Zip Code: 34952 Fax: 335-(860 E-Mail: Phone No. 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 N _ �.. .,.-,y-..;,1 � �'`L,.,,....�,i«�..m,.:.<:z,,..-r.-._,:._7-....�.W.r:t } :_,,,A—•�x N`-f"�s.''a�..0.^"`y.-.�.�=�N�-=.:..nom-.'r 'moi�`".-..a._>.�� � _— _ _ a-u -�^� DESIGNER/ENGINEER _Not Applicable MORTGAGE COMPANY: _Not Applicabl Name: Name: Address: Address: - � City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Add ress: Address: City: City: Zip: Phone: Zip: Phone: I 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 l 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. Signature o sse Contractor as Agent for Owner Sign- of o t ctor/Lice se Holder STAT OF FL R STA E O 1 COUN stLuae COU OFSLLucie The for oing instrument was acknowledged before me The r Ding instrument was acknowledged before me thisay of (VI a v-`L, 202.J by this ay of ►'Y 20'Z-.) 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 Public-State of Florida ) (Signature of Nota is-;1 ) Sheryl D.Moore NOTARY PUBLIC Commission No. NOTl BMpUBL� Commission No STATE OF FLP) STATE OF FLORIDA Not Comm#GG945237 Ccmm#GG945237 �'c 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 i