HomeMy WebLinkAboutBuildling Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
PERMIT APPLICATION FOR: Shutter
Address: 12 Ecuador Way
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639) That Part of SEC As Shown
In or 2389-639 Being Lot 12 Ecuador Way (0.12AC-5227 SF)(OR 4241-2090)
Property Tax ID #: 1301-500-0290-000-1
Site Plan Name: Spanish Lakes Country Club Villate
Project Name: Helms
Setbacks Front Back
Right Side: Left Side:
Installing three accordion shutters to enclose the lanai area.
Lot No. 12
Block No.
Additional work to be nertormed under this permit —check all apply:
HVAC Gas Tank ❑Gas Piping _ Shuttersa Windows/Doors
11 Electric 0 Plumbing O Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3600.00 utilities:11 Sewer Septic Building Height:
Name Gordon Helms
Address: 12 Ecuador Way
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No. 419-708-8357
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 Cir
City: Port St Lucie State: FI
Zip Code: 34951 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.
DESIGNER/ENGINEER: _ Not Applicable
Name -
Address:
City: Fie State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Addres . ir
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:leff-zt�'�
Address: v -E -
City: Pert� State:
Zip: Phone:
Not Applicable
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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
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SignWEFL
/ Le see/ ntractor as Agent for Owner Sign=OFORIDA
for/Lic se Holder
STADA STA
COUNTY OF S� , G� COUNTY OF -94 .
The for oing instrument was acknowledged before me
this '2, Nday of 5H " , 20-Z.J by
CP _)twem
Name of perste making statement
Personally Known ✓✓ OR Produced Identification
Type o entification
Produced
The forgoing instrumt was acknowledged before me
e
this 23 day of u'a-C , 262J by
Name of person making statement
POR Produced Identification
Type of Identification
Produced
yy 4_r� "-�-
(Signature of Notary Public- State of Florida ) (Signature of Notary ublic- State of Florida )
Commission No. NCrP1K�Moo►e Commission No t Sher D. Moore (Seal)
PUBLIC NOTARY PUBLIC
s STATE OF FLORIDA
2 Com o
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STATE OF FLORIDA
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Expires /15/2024 i ��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEG d� IOt�x irg@A��E4 MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17