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: 68 Calle de Lagos
Legal Description: Spanish Lakes Country Club Village Leasehold Estates Being Lot 68 Calle de Lagos
Property Tax ID #: 1301-500-0129-000/2
Site Plan Name: Spanish Lakes Country Club Village
Project Name:
Setbacks Front Back
Right Side: Left Side:
Install five accordion shutters to cover four windows and one sliding glass door.
FL13757-R6
Lot No.
Block No.
Haaitional worK to be ertormea under this permit —check all apply:
OHVAC 11 Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
11 Electric 11 Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 2,850.00 Utilities: 0 Sewer F]Septic Building Height:
Name Janet Carlin
Address: 68 Calle de Lagos
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 834-3314
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 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.
SUR8g7s MENIAMate% yy+gq g}�� to fssi �y�gyba�3� aav ag�._pg
... _.. .,..,..... �� ���s'0..v..
�� } ���yqz xa� k� s3 , ,� �,�kt:
%ctrt���-...._"`';&^�������.,.:�_`. ._."�ax"'�-_ `•c�..._.m,..,..�?�,. 3''Tc I
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
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.
Signature r/ essee ontractor as Agent for Owner
Signat e o r ctor/Lic nse Holder
STA OF R D
STA RI
COU TY t cie
COUNTY OF sty-=
The forgoing instrum nt was acknowledged before me
The forgoing instrument was acknowledged before me
this � day of L _ 20 -4 by
this �.,� day of J1-r-1 , 20 4 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
Produced
D+,LvAD
4h�±& hu�r�
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
�SP.RY Sheryl D. Moore
Sheryl D. Moore
Commission No. l �� 14W*RYPUBLIC
Commission N Q NOTARYPUBL(6eal)
o —STATE OF FLORIDA
o c STATE OF FLORIDA
? Comm# GG945237
': ? Comm# GG945237
s
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17