HomeMy WebLinkAboutBuilding Permit Application 05-21-20;03: 11PM; ;772-335-0860 # 1/ 2
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-20-2020 Permit Number: _2onz�Lar, 2
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Building Permit Application MANY 2b 2020
Planning and Development Services 15T. Lucie County, Permitting
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: Aluminum without concrete
Address: 5 Danzar
Legal Description: East 1/2 of Section 1 Township 34S Range 39E less N. 1069.59'lying N&W of Turnpike Feeder Rd.
Property Tax ID#: 1301-500-0246-00018 Lot No.
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Al
Construct front entry infill. Existing concrete.
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Additional work toe e orme under tispermit—checka appy:
HVAC 1.Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
U Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,500.00 Utilities: Sewer Septic Building Height:
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Name Jim&Joyce Foley Name: Jeff Jackman
Address:5 DanzarCompany: Master Craft Aluminum Products
City: Fort Pierce State:FL Address: 1634 SE Niemeyer Circle
Zi p Code: 34951 Fax: City: port St.Lucie State:FL
Phone No.448-8117 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.
05-21-20;03: 11PM; ;772-335-0880 # 2/ 2
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress: Address;
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 holderto 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 Horne 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 l 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
commencinR work or recording our Notice of Commencement.
Signatur of O Lesse /Contractor as Agent for Owner Sign L re f ntracto /License Holder
STATE ST F ORIDA
COUNTY OF st Lude COUNTY OF sL Lucie
The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of _ 21) Zo by thisdJ1).day of r'nai,,. 2OU by
Jeff Jackman Jeff Jaclanan
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known X ORProduced•ldentification
Type of Identification Type of Identification
Produced Produced
✓ �/
(Signature of Mary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Sherif D AAaore Sheryl D.Moore
Commission No. Commission NAWAS& NOTARYPUBLIC(Seal)
STATE OF FLORIDA STATE OF FLORIDA
Q.'olin#GG945237 Comms#GG945237
s Ji r UZ4- re
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17