HomeMy WebLinkAboutRobbins Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S /S /?4 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: Aluminum without concrete
Address: 14432 Dalia Ave
Legal Description: Spanish Lakes Fairways Leasehold Estate (or 2380-1934) That Part of SEC As Shown In or 2380-1934
Being Lot 14432 Dalia Avenue (BLK 29 Lot 13)(0.13 AC - 5663 SF)(or 4400-2529)
Property Tax ID #: 1306-501-0463-000-3 Lot No. Irl
Site Plan Name: Spanish Lakes Fairways Block No.
Project Name: Robbins
Setbacks Front Back: Right Side: Left Side:
Installing a two wall front entry screen infill.
OHVAC
11 Electric
" Shutters
ElPlumbing Sprinklers 11 Generator 0 Roof Roof pitch
QWindows/Doors
Total Sq. Ft of Construction:
Cost of Construction: $ 1400.00
Name Tom Robbins
Address: 14432 Dalia
SFt. of First Floor: _
Utilities:]Sewer Septic
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No. 561-685-4856
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Building Height:
Companv: 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.
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
4.LII■ W� .1111"M 1IIm-l•1•I..MIJ MZ&VA EM111I I I I ILA INPI I11-741141
Sig tur wn r/ Lessee/Contractor as Agent for Owner
S T L IDA
CO TY F cSk,�t
The forgoing instrument was acknowledged before me
this. day of Mom 2020 by
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -State of Florida )
t?ZOZ/96/6 SeJICIX3
Commission No. L£Z5460<gro
V01801A 40 31v1S
011Btld AadlON
Si atur o Contrac or License Holder
STATE OF FLORIDA
COUNTY OFfit'
The forgoing instrument was acknowledged before me
this,5tK day of ti'N� 202%) by
5 e F cwk►-�.�
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
1?Z0Z/96/6 Sandx3e6 a
Commission No. 187Gti5E1c)*uwo,) I)
V01,801=130 31`diS
onand AHV10N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED
Rev. 8/2/17
v
Rim
-
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:—
Name: Jwr 1
Addresses
Address: —
City: Porte tun'g—
State:
City: M-PlErce State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: 1r
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
4.LII■ W� .1111"M 1IIm-l•1•I..MIJ MZ&VA EM111I I I I ILA INPI I11-741141
Sig tur wn r/ Lessee/Contractor as Agent for Owner
S T L IDA
CO TY F cSk,�t
The forgoing instrument was acknowledged before me
this. day of Mom 2020 by
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -State of Florida )
t?ZOZ/96/6 SeJICIX3
Commission No. L£Z5460<gro
V01801A 40 31v1S
011Btld AadlON
Si atur o Contrac or License Holder
STATE OF FLORIDA
COUNTY OFfit'
The forgoing instrument was acknowledged before me
this,5tK day of ti'N� 202%) by
5 e F cwk►-�.�
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
1?Z0Z/96/6 Sandx3e6 a
Commission No. 187Gti5E1c)*uwo,) I)
V01,801=130 31`diS
onand AHV10N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED
Rev. 8/2/17