HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9,15407t 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: 82 Mediterranean Blvd. North
Legal Description: St. Lucie Gardens 26 36 40 All that part of Blks 1 & 2 lyg ELY of US One
Property Tax ID #: 3426-500-1022-000/9
Site Plan Name: Spanish Lakes One
Project Name:
Lot No.
Block No.
Additional worl(to pe ertormed under this permit — check all t= apply:
11 HVAC 0 Gas Tank DGas Piping Lid Shutters a Windows/Doors
11 Electric 11 Plumbing O Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3,200.00 Utilities: 11 Sewer 11 Septic Building Height:
Name Marieta Cuttler
Address: 82 Mediterranean Blvd. N.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 443-223-7939
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Company: Master Craft Aluminum Products
Address: 1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
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 52500 or more. a RECORDED Notice of Commencement is reauired.
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Add re ss:
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.
ssee Contractor as Agent for Owner
Signatur=CA
f o or cense Holder
5igna��O'F
STATE
STA FLORIDA
COUNTY OF St Lucie
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me
day
Thefor Ding instrument was acknowledged before me
kh!!% fl)
this of 2020 by
this Jin day of 20 by
Jeff Jackman
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
(Signature of Notary P bli f lA M00rg
(Signature of Not ry Public- State of Florida )
NO PUBLIC
Sheryl D. Moore
Commission No. STA FLORIDA
NOTARYPU�
Commission No. Idal)
Comm# GG945237
STATE OF FLORIDA
Expires 1/15/2024
WIP4Comm#GG945237
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17