HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 x
PERMIT APPLICATION FOR: Shutter
Address: 54 Ipanema Way
Legal Description: Spanish Lakes Country Club Village Leasehold Estates Being Lot 54 Ipanema Way
Property Tax ID #: 1301-500-0496-000/5
Site Plan Name: Spanish Lakes Country Club Village
Project Name:
Setbacks Front Back:
Lot No.
Block No.
Right Side: Left Side:
Install eleven accordion shutters to cover five windows and six lanai area openings.
FL13757-R6
L1 HVAC
11 Electric
_ IV 15hutters
F]Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 8,000.00
Name Robert G. & Jill J. Miller
Address: 54 Ipanema Way
S Ft. of First Floor: _
Litilities:I Sewer ElSeptic
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 304-790-1589
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
QWindows/Doors
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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1211
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Add Tess:
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
cornmencing work or recording our Notice of Commencement.
Signat e of er/ Lesse /Contractor as Agent for Owner Signat e c tractense Holder
STAT RIDA ST F RIDA
COUNTY OF stLuee COUNTY OF stL-
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisi? day of SW,,4 20U by thisZ3 day of 5u,)- 2o—Zo by
Jeff Jackman Jeff Jackman
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known X DR. Produced Identification
Type of Identification Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Sheryl D. Moore
Commission No. NOtAO)PUBLIC
c _ STATE OF FLORIDA
y Comm* GG946237
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Produced
(Signature of Notary Public- State of Florida )
She D. Moore
Commission N �' Y PUBLI'Seal)
_STATE OF FLORIDA
W _ Comm# GG945237
SUPERVISOR I PLANS I VEGETATION I SEATURTLE i MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW