HomeMy WebLinkAboutBall Infill Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5A, Abao 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
Address: 6472 Alemendra Street (new CBS home)
Legal Description: 06/07 34 39 All that part lyn. NELY of 1-95
Property Tax lD #: 1306-111-0001-000/0
Site Plan Name: Spanish Lakes Fairways Leasehold Estates
Project Name:
Setbacks Front Back: Right Side: Left Side:
11 H VAC
11 Electric
Lot No.
Block No.
Install screen room infill under existing truss roof on existing concrete.
"Shutters
0 Plumbing 0Sprinklers 0 Generator 11 Roof Roof pitch
QWindows/Doors
Total Sq. Ft of Construction:
Cost of Construction: $ 1,600.00
Name Edward Ball &Tracy Therrien -Ball
Address: 6472 Alemendra Street
S Ft. of First Floor: _
Utilities: Sewer E]Septic
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-359-6369
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Building Height:
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
IT value oT construction is:SzSuu 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
commencing work or recording vour Notice of CnmmPncPmPnt
Le see Contractor as Agent for Owner
Signatur�UIDA
Sign ure oT ontractor/License Holder
STATE
STA F FLORIDA
COUNTY OF st Lucie
COUNTY OF St Lucie
DESIGNER/ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
Applicable
Name:
Jeff Jackman �J
Name:
_Not
Address:
Personally Known X OR, Produced- Identification
Address:
Type of Identification
City:
State:
City:
State:
Zip: Phone
(Signature of Notary P lic- 5ta{e of Florida )
D. Moore
Zip: Phone:
Commissi NOTARY PUBLIC (Seal)
LORIDA
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
PLANS VEGETATION SEA TURTLE MANGROVE
Name:
REVIEW REVIEW REVIEW REVIEW
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 recording vour Notice of CnmmPncPmPnt
Le see Contractor as Agent for Owner
Signatur�UIDA
Sign ure oT ontractor/License Holder
STATE
STA F FLORIDA
COUNTY OF st Lucie
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this kbn, day of hnovI 20'Zi by
this day of Y'nr q 12024 by
Jeff Jackman
Jeff Jackman �J
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 to � c �c��
NOTARY PJBLICeryl
(Signature of Notary P lic- 5ta{e of Florida )
D. Moore
`��
I� STATE C t&PRIDA
Commission No. �•. ,.:
omm# GG945237
9��
Commissi NOTARY PUBLIC (Seal)
LORIDA
El Expires 1/15/2024
s Comm# GG945237
Ex it 1 1
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
^ COMPLETED
rcev. u/ /-/ J_ )