HomeMy WebLinkAboutBuilding Permit AppALL 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: 14 Grande Vista Way
Legal Description: St. Lucie Gardens26 36 40 That part of Blocks 1 & 2 lyg ELY of US# One
Property Tax ID #: 3426-500-0513-000/1
Site Plan Name: Spanish Lakes One
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Install ten accordion shutters to cover seven windows and three lanai openings.
Lot No.
Block No.
Hoaitional work to pe ertormea unser this permit — check all apply:
HVAC ri Gas Tank []Gas Piping rV/1 Shutters Q Windows/Doors
Electric 11 Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 6,000.00 Utilities: Sewer F]Septic Building Height:
Name Paul & Kathy Miller
Address: 14 Grande Vista Way
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone -No. 291-3226
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.
i`�
m
DESIGNER/ENGINEER:
— Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name:
Name:
Add re ss:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Add re ss:
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
:ommencing worK or recoraing your Notice of Commencement.
Signa re 0 r/ Less /Contractor as Agent for Owner Sig tur f on actor License Holder
STA 0 O S LORIDA
COON St Lucie COUNTY OF St Lucie
TheIng instrument was acknowledged before me
thisrgoday of JM 71-1 20 ?U by
Jeff Jackman
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notaryublic- State of Florida )
tp y Sheryl D. Moore
Commission No. NONNY PUBLIC
c -STATE OF FLORIDA
Comm# GG945237
The forgoing instrument was acknowledged before me
this may of _S�,1 tom 20U by
Jeff Jackman
Name of person making statement
Personally Known X OR. Produced Identification
Type of Identification
Produced
/a4 .0
(Signature of Notary -Public- State of Florida )
t y Sheryl D. Moore
Commission N NOTARYPUBL(Geal)
o E OF FLORIDA
Comm# GG945237
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 6/z/1J