HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 515/7,0 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: 6672 Tulipan
Legal Description: Spanish Lakes Fairways BLK 54 Lot 15
Property Tax ID #: 1306-500-0268-000-3
Site Plan Name: Spanish Lakes Fairways
Project Name: Immediato
Setbacks Front Back: Right Side: Left Side:
Installing ten accordion shutters on the windows and the two sliding glass doors.
Product Approval - 13757.2
Lot No. 15
Block No.
Haamonai worK to ne
OHVAC
errormea
unaer tnis permit — cnecK ail
Gas Tank Gas Piping _
apply:
Shutters a Windows/Doors
11 Electric 0 Plumbing
Sprinklers 1i Generator Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
4950.00
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Cost of Construction: $
Utilities:
Sewer Building Height:
JSO
Name Barbara Immediato
Name: Jeff Jackman
Address: 6672 Tulipan
Company: Master Craft Aluminum Products
City. Ft Pierce
State: _
Address: 1634 SE Niemeyer Cir
Zip Code: ago, J� ��5 ( Fax:
City: Port St Lucie State. FI
Phone No. 772-349-2374
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.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name B
Name:
Address:-G��
Address:-vR---t�
City: Pow—
State:
Clty�_F� State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Add re
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 O er/ Le see/Contractor as Agent for Owner
igna a Contr ctor/License Holder
ST E R A
F FLORIDA
COU TY OF
COUNTY OF S+. UA cI -c—
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this t of �'Yla�,h , 20->D by
this S ay of 20Zv by
15e- �oc�
p �� JGcirirr�.r✓
Name of perso 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 Pu lic- State of Florida)
(Signature of Notary Public- 21ate of Florida )
tp, Sheryl D. Moore
Commission No. (Seal)
Commission No. NOTARYPUBtfI-eal)
Sheryl D. Moore
—0 1 A I E OF FLORIDA
NOTARY PUBLIC
Comm# GG945237
REVIEWS
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PERVISOR
PLANS
VEGETATION
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17