HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST' COMPLETED FOR APPLICATION TO BE ACCEPTED fir
Date: ,d'y t Permit Number: v"{�
DECEIVED
Building Permit Application Imp 70
Planning and Development Services
Building and Code Regulation Division permitting DePartme~`
2300 Virginia Avenue,Fort Pierce FL 34982 st,�'"e'e Co' r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 6563 Zapote Court
Legal Description: Spanish Lakes Fairways Leasehold Estates Block 72 Lot 9
Property Tax ID#: 1306-501-1062-000/9 Lot No.9
Site Plan Name: Spanish Lakes Fairways Block No. 72
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION',OF WORK.
Infill: Screen room under truss roof on existing concrete
777771
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CONSTRUCTIOR INFORMATION.'
Additional work to be nertormed under this permit—check all appy:
0HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,800.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name Paul&Valerie Coolidge Name: Jeff Jackman
Address:6563 Zapote 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.518-420-7341 Zip Code: 34952 Fax: 335-0860
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.
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DES[GNER/ENGINEER. _Not Applicable MORTGAGE COMPANY: _NotApplicable -
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 AFFIDV[T: 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.
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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
commencin work or recording our Notice of Commencement.
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Signature of a es ee/Co tractor as Agent for Owner Sign at C tractor 'cense Holder
STAT OFF D S O F
COU F St Lucie COUNTY F St Lucie
I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this JO day of fl'l. A&, 20 U by this day of Y � 20 ti by
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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 Notaryublic-State of Florida}
AWL Sheryl D.Moore Sheryl D.Moore
Commission No. NOTAI YeWBLIC Commission NoJNOTARY�B4Seal)
STATE OF FLORIDAb I ATE OF FLORIDA
Cantu#GG945237 iN g Comm#GG945237
REVIEWS FRONT ZONING 'SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW-
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17