HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S% SI?g Permit Number:
Building Permit Application
Planning and Development Services
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: Shutter
Address: 51 Mediterranean Blvd E, Port St Lucie, FI 34952
Legal Description: St Lucie Gardens 26 36 40 That Part of BLKS 1 and 2 Lyg Ely of US #1 As Shown In Or 2389-720
Being Lot 51 Mediterranean East (0.14 AC-6098 SF) (Or 3875-2271)
Property Tax ID #: 3426-500-0930-000-0
Site Plan Name: Spanish Lakes #1
Project Name: Jakacky
Setbacks Front Back: Right Side: Left Side:
Lot No. 51
Block No.
Installing ten accordion shutters on the windows and the three lanai areas of the home.
H VAC
Electric
Product Approval - 13757.2
1 Gas Tank
0 Plumbing
Sprinklers
" Shutters
FIGenerator
QWindows/Doors
11 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6350.00 Utilities: 0 Sewer 0 Septic Building Height:
Name Paul & Colleen Jakacky
Address: 51 Mediterranean Blvd E
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772-333-2758
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Roof pitch
Company: Master Craft Aluminum Products
Address: 1634 SE Niemeyer Cir
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
E-Mail: mastercraftaluminum@gmail.com
State or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
N a m e.;—P--=-
N a m e:-d�
Address:
Address: 04rt st
City:
State:
City: P-Lst-L�
State:
Zip:
Phone
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Add res
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 your Notice of Commencement.
Signature of O ne L s ee ontractor as Agent for Owner
as
Sign ure o C ract /License Holder
STATE OF F
ST F ORIDA
COUNTY OF
COUNTY OF ��I�
The forgoing inst m wa ac before me
The forgoing instrument was acknowledged before me
this ; rY�day of OL-1 25U by
this � day of h� 20 _. by
5t�� J'044AA,._
0 P� Ioar'f4-0—
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 Public -State of Florida)
(Signature of Notar I' -St�gf bl.cgSW
SherXl D. Moore
NOTARY PUBLIC
Commission No. RY PUBLIC
Commission No. =STATE OF FL(q
STATE OF FLORIDA
�a Comm# GG945237
Comm# GGM237
E 19 Expires 1/15/2024
E 19 Expi
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