HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE �INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: .2 C Permit Number: 1 {
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Building Permit Application pery"rR,o �za
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lanning and Development Services uilding and Code Regulation Division Bmoment
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete III
Address: 3408&d Tail Hawk Drive
Legal Description: Fairways at Savanna Club Replat No 1 Elk. 70 Lot 8
Property Tax ID #: 3424-800-0078-000/4
Site Plan Name: Fairways at Savanna Club
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No. 8
Block No. 70
DETAILED DESCRIPTION OF WORK: III
Construct 10'x10' patio cover on rear of home. Roof will be 3" composite panels.
Concrete is existing.
CONSTRUCTION INFORMATION:
rtiona worK to a nerTormed under this permit — check all apply: j
I�HVAC Gas Tank ❑Gas Piping nn_ Shutters Q Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: /D 0 4 S Ft. of First Floor:
w
Cost of Construction: $ 0 U U ^ Utilities: Sewer Septic Building Height:
OWNER/LESSEE.
CONTRACTOR:' `
Name R. J. 8 Nancy Birrittella
Name: Jeff Jackman
Address:3408 Red Tail Hawk Drive
Company: Master Craft Aluminum Products
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.772-446-9150
Address: 1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34052 Fax: 335-0860
Phone No. 335-1177
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: mastercraftaluminum@gmail.com
State or County License: SCC131150586
R
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRllCTION L3EN LAW 1NFCRAt1ATION ,.
DESIGNER/ENGINEER:
Name: Florida Aluminum
_ Not Applicable
F.nginppring
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: S440 Mariner
g
Address:
City: mamp,
Zip:'3360q Phone R13_174_2409
State: FT•
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 recordine vour Notice of Commencement.
SignaturW7cLee Contrac r Owner
Sig ur f ntractor 'tense Holder
T TE O
ATE F
Lucite
C 24,-1,13Qi-Q
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 3.ldayof J)-GCG. br 20Ji by
,Tpff Jackman
this�dayof �acr.L_ 20_LJ_ by
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
(Signature of Nota*ctat
'��i
, (Signature of No ary Public -State of Florida )
OTARY( C
Commission No.,7ATE
Sheryl D. Moo e
Commission No YPUBLI(Seal)
OgFIL�RIDA
STATE FLORIDA
ommit FF942382
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res
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17