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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED •� Date: �O `� Permit Number: D —O — Building Permit Application �a� amen Planning and Development Services 0�Ap�©u��� Building and Code Regulation Division @®�Sr Were 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Window/door PROPOSED llVIPR0VEMENT LOCATION ( K Address: 33 San Luis Obispo 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. Site Plan Name: Spanish Lakes Country Club Village Block No. Project Name: Setbacks Front Back: - Right Side: Left Side: DETAILED DESCRIRTION'OF 1NORK " P - Replace eight damaged windows and one cabana door on existing Florida room lean rrmeef) C--11,s 7,'%'l j h H M c".P-�jatr'-LL 'eo 0/ut' CONSTRUCTION .1N'FORlUTA ION � .. Additional work toa er orme under this permit–c ec a apply: E1HVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors 0 Electric E] Plumbing O Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ . -�/ Utilities:Sewer ElSeptic Building Height: OWNER/LESSEE CONTRACTOR .t Name Tom&Diane Kurzrock Name: Jeff Jackman Address:33 San Luis Obispo 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.772-465-2324 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. r 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 cess: 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 Horne 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. Sig urWer/ /Contractor as Agent for Owner Sign re of actor/L cense Holder TATE ST LCOUNTY i SL Lucie The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this day of r}'l k ,20?D by this day of �'>Il.�ril� 20!!I 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 Pu 4WRa ooze (Signature of Notary Publj St a Florida NOTARY PU ,�M core rrSS PUBLIC Commission No. STATl��IIfLORIDA Commission NOTARY FLORIMpal) Comm#GG945237 e Expires 1/15/2024 7:6,:res.' G945237 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