HomeMy WebLinkAboutBuilding Permit ApplicationI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /l/0 /-2�/ d Permit Number:
Building Permit Application
Planning and Development Services JAN 21 2020
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permltting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi en la
PERMIT APPLICATION FOR: Aluminum with concrete II
PROPOSED IMPROVEMENT LOCATION:
Address: 3303 Columbrina Circle
Legal Description: Savanna Club Plat Three Block 10 Lot 33
Property Tax ID #: 3425-703-0012-000/9
Site Plan Name:
Project Name: Savanna Club
Setbacks Front Back:
Right Side: Left Side:
Lot No. 33
Block No. 10
IDETAILED DESCRIPTION OF WORK`.' •` 11 111
Construct 12'x11' three -wall shed on new concrete slab. Roof will be 3" composite panel
system.
N INFORMATION.
I_IHVAC UGas Tank ❑Gas
11 Electric El Plumbing OSpr
Total Sq. Ft of Construction: 132
Cost of Construction: $ 8,300.00
Piping "Shutters
2rs E Generator
S Ft. of First Floor: _
Utilities: Sewer D Septic
Windows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark Little
Name: Jeff Jackman
Address:3303 Columbrina Circle
Company: Master Craft Aluminum Products
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.772-281-9025
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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEI EN-iAL C4DNST UC-TTIfl1V
LIEN L
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WJNFt)iRMAT1C3W+
DESIGNER/ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Fl Sri rla Aluminum
Rngi nc pri na
Name:
Address: 5440 Mar-i ngr
g� i�0
Address:
City: mamge:
a
StatpT•
City:
State:
Zip:y360q Phone
R13-474-240R
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.ofthe 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 Commencement.
Signa a of er Less /Contractor as Agent for Owner
Sig ure n rector/L ense Holder
STA FL D
S ORIDA
COUNTY OF St Lucie
COUNTY OF SC—TausiM
The forgoing instrument was acknowledged before me
this %tJ day of 202J by
The forgoing instrument was acknowledged before me
this �0 day of . 20 by
,Tpff .Tarkman
ell /
Neff �7�ackma;n
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 AA� ,,.. AA ]^- — ,
kk4f A6 &0.7J —
(Signature of Notary - til jfi )BLIC
(Signature of N uJ���jjit r�lorida )
-STATE O�F��F4 ORIDA
NOTARY PUBLIC
Commission No. ^'L 6G54�237
Commissio L FLORIDl�Seal)
Expires 1/15/2024
�; c Comm# GG945237
1 e Expires ill512024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE.
RECEIVED
DATE
COMPLETED
Rev.8/2/17