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ALL APPLIC E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:a(o
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RECEIVED
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Building Permit Applicatio9�P
Planning and Development Services permitting Department
Building and Code Regulation Division St.Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x j
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSEDIMPROVEMENT'LOCATION:
Address: 7 Peru Fort Pierce
Legal Description: East 1/2 of Section 1 Township 34S Range 39E less North 1069.59'lying N &W of Turnpike Feeder Rd.
Property Tax ID#: 1301-111-0001-000/5 Lot No. i
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK
Infill-screen room under existing truss roof on existing concrete.
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CONSTRUCTION INFORMATION
Additional work toe e orme under this permit
—check a apply:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric F] Plumbing Sprinklers Generator F] Roof Roof pitch
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Total Sq. Ft of Construction: 200 S . Ft.of First Floor:
Cost of Construction:$ 1,850.00 Utilities: Sewer ElSeptic Building Height:
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OWNER/LESSEE:: CONTRACTOR:
Wesley&Elaine Ames Jeff Jackman
Name Y Name:
Address:7 PeruCompany: Master Craft Aluminum Products j
City: Fort PierceState:FL Address: 1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State:FLI
Phone No.603-631-0384 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:
Add rens:. Address:
City: City:
Zip: Phone: Zip: Phone:
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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
cornmencing work or recording our Notice of Commencement. j
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Signat;OF
w r/Le ntractor as Agent for Owner S' atu a or/License Holder
ST ID STAT O FLORIDACO F s �,��e OF stwo�e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this j day of 20-W by thisL day of 'a — 20Lv 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 Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida ) (Signature of Notary Pubg&WQgJ@rida)
Sheryl D.Moore NOTARY PUBLIC
Commission No. Av�_NO SY PUBLIC Commission F FLORI&al)
STATE OF FLORIDA
Comm#GG945237
Comm#GG945237
A/We 19 Ex ires 1 11 512 0 24
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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