HomeMy WebLinkAboutBuilding 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 x
PERMIT APPLICATION FOR: Shutter
M
ge
_... z,
Address: 11 Lagos del Norte
Legal Description: Spanish Lakes Country Club Village Leasehold Estates Being Lot 11
Property Tax ID #: 1301-500-0674-000/7
Site Plan Name: Spanish Lakes Country Club Village
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Install eight accordion shutters to cover seven windows and one sliding glass door.
FL13757-R6
OHVAC
11 Electric
apply:
[]Sprinklers
_ 0 Shutters
Plumbing GeneratorRoof pitch
[]Windows/Doors
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,000.00
Name Christine Cardone
Address: 11 Lagos del Norte
Sq. Ft. of First Floor:
Utilities: 0 Sewer[]Septic
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 631-830-7278
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zi p: 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 1 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 recordlpg Vour Notice of Commencement.
Signat e of r/Uesse/Contractor as Agent for Owner Signa re n act /License Holder
STA 0 ID STT ORIDA
COUNTY OF wore COUNTY OF St. L.cie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisZ,3!4day of t4p-( 20ZO by this )'�cday of 20 2I 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
"kA,C_ fiW A,
(Signature of Notary Public- State of Florida )
-��R Sheryl D. Moore
Commission No. NOTARY I�NILjC
_ c STATE OF FLORIDA
'. Comm# GG945237
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
(Signature of Notary Public- State of Florida )
Sheryl D. Moore
Commissio NOTARY PUBLIC (Seal)
o STATE OF FLORIDAomm
C# Moore
SUPERVISOR IPLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW