HomeMy WebLinkAboutSerge Permit App ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/2020 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
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Address: 14219 Zorzal Avenue
Legal Description: 06/07 34 39 All that part lying NELY of 1-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.14
Site Plan Name: Spanish Lakes Fairways Block No. 24
Project Name: /
Setbacks Front Z" Back: 3Z Right Side: Left Side:
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Construct screen room on existing concrete. Roof will be 3" composite panels.
Product Approval 7561
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itiona work to a er )rmed under this permit—check a apply:
I�HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric Plumbing O Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: / Y S Sq. Ft. of First Floor:
Cost of Construction:$ 5,000.00 Utilities: Sewer 0 Septic Building Height:
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Name Serge Breton Name: Jeff Jackman
Address:14219 Zorzal 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.819-333-7236 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: ACC131150586
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: F on da Aluminum Engi n�i nQ Name:
Address: 5440—Ma-roar- ct #iig Address:
City: mamPa State: FT, City: State:
Zip: ��6D9 Phone R13--�74-24D3 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: 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 re rdingyour Notice of Commencement.
Sig ure f 0 er/ ess a/Contractor as Agent for Owner Si ature n ctor/L ense Ho er
S ATE O TAT ORIDA
CO OF �t LuriA COUNTY OF 1 tsig
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Jx day of_n" 20 U by this Xday of j1o" 20�2_ by
Jpff Ja_Ckman 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
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(Signature of Notary P lic-State of Florida ) (Signature of Nota Public- atg Bf�orfea)
She D.Moore NOTARY PUBLI
Commission No. (1RKRYPUBUC Commission N OF FLOIAI)
STATE OF FLORIDA SNMV Comm#GG945237
Comm#GG945237 Ex
pires 11/1512094
Expi es 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