HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4)5I14 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
PROOSEC�l 1�MEI� �.CCAT
Address: 8 Montoya
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (Or 2389-639) That Part of SEC As Shown
In or 2389-639 Being Lot 8 Montoya (0.12 AC - 5227 SF)(Or 4097-6)
Property Tax ID #: 1301-500-0809-000-3 Lot No. 8
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Powers
Setbacks Front Back:
Right Side: Left Side:
Installing five accordion shutters on the windows of the home.
Product Approval - 13757.2
Haamonai worK to ne errormea unaer iris permit — cnecK aii a pry:
OHVAC Gas Tank Gas Piping _ Shutters a Windows/Doors
LJ Electric Plumbing Sprinklers D Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1800 Utilities: Sewer FjSeptic Building Height:
Name Nancy Powers
Address: 8 Montoya
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No. 603-496-1961
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.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name��
Name: Je"--k-n
Address:
Address
City: Ft PIPrrP
State:
City: Pam—
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
City:
Address.
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.
Sig re o�ner/ essee/Contractor as Agent for Owner
iractor/License o g
OSTATE RIDA
STATE OF FLORIDA
COUNTY OF gk I,u c e.
COUNTY OF t ty,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this <'1�day of �Y��. 20 ?a by
this day of 20�J by
Name of person aking statement
person
Name of person m king statement
Personally Known L�OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary ublic- Sta of FI%IIJ6013. Moore
(Signature of Notary Public- State of Florida )
N TA�Y PUBLIC
Commission No. S OF FLORIDA
Sheryl D. M
Commission No. - ( I)
Comm# GG945237
TARY PUBLIC
STATE
W14i
Ex Tres 1115/2024
OF FLORIDA
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATIONS
SEXMYLV12
201ANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17