HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/2/2020 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: 37 W. Mediterranean Blvd.
Legal Description: St. Lucie Gardens26 36 40 That part of Blocks 1 & 2 lyg ELY of US# One
Property Tax ID #: 3426-500-1107-000/9
Site Plan Name: Spanish Lakes One
Project Name:
Setbacks Front Back:
OHVAC
11 Electric
Right Side: Left Side:
Install eight accordion shutters
IVI Shutters
11 Plumbing 11 Sprinklers 0 Generator 11 Roof Roof pitch
Lot No.
Block No.
Total Sq. Ft of Construction:
Cost of Construction: $ 3,000.00
Name Vicki Beard
Address: 37 W. Mediterranean Blvd.
Sq. Ft. of First Floor: _
Utilities: Sewer 11Septic
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 216-496-0035
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
QWindows/Doors
Building Height:
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 $2500 or more, a RECORDED Notice of Commencement is required.
MORTGAGE COMPANY: _Not Applicable
Name:
DESIGNER/ENGINEER: _Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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.
Signatu of w er/ Le ee/Contractor as Agent for Owner
Sign nse Holdero
STA
STORIDA
COUNTY OF St Lucie
COUNTY OF SLLucie
The forgoing instrum t vras acknowledged before me
The forgoing instrument was acknowledged before me
this day of U h-f 20_Zn* by
this Z3 day of 5 L4b-t 202A 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 Pu lic- State of Florida)
(Signature of Notary Public- State of Florida )
Sheryl D. ��°((¢¢
Commission No.
aw Sheryl D. Moore
Commission NOTARYPUBLK{Seal)
OTARYUBLIC
S STATE OF FLORIDAblATIT-F
FLORIDA
i Comm# GG945237
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e 19 Expires 1/15/ 024
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17