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
Address: 41 Monterey Way
Legal Description: 41 Monterey Way(St. Lucie Gardens 26 36 40 that part of Blks 1 &2 lyg ELY of US One Being Lot 41 Monterey Way)
Property Tax ID #: 3426-500-1150-000/5
Site Plan Name: Spanish Lakes One
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Install three accordion shutters to accommodate three rear lanai area openings.
FL13757-R6
icimonai worK to De errormea unser anis permit — a
HVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,300.00
Name Gilio & Linda Mazzuchella
Address: 41 Monterey Way
ail apply:
Shutters
Generator
SFt. of First Floor: _
Utilities: Sewer O Septic
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 785-7991
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
QWindows/Doors
QRoof Roof pitch
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.
17
�--�v: �
���"iC�"-•_.i•K'+'�.alS�.'v�
.� _-+Fx+�.2:..._s=.a it..: -.cru „e��_,«. .� .::_ w.. ..�.::'.^ "i .� .L�v+:AS AF�i��
WE
DESIGNER/ENGINEER: Not Applicable
_0011
—
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:
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 reccg your Notice of Commencement.
Signature
STAT4 OF F
COUNVLQ
tractor as Agent for Owner I Sign atur,-"ol'4gkfLXactor/N cerise Holder
Thef_or$ Ding instrument was acknowledged before me
this � day of 3 C4 }'k , 20Z5 by
Jeff Jackman
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
GAJ,
(Signature of Notary P lic- State of Florida )
Sheryl D. Moore
Commission No. N01fAW)PUBLIC
STATE OF FLORIDA
�:,, g Comm# GG945237
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
STAE OF C lt
CQ tLucie
The forgoing instrument was acknowledged before me
this day of 5L4'* -c 20'Z4 by
Jeff Jackman
Name of person making statement
Personally Known x OR.Produced identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Sheryl D. Moore
Commission No.*NOTT
ARYPURWSI)
E OF FLORIDA
Com
GG945237
SUPERVISOR I PLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW