HomeMy WebLinkAboutRussell Shutter Permit APpALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Izi 1ZO 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: 1405 Platts Ln, Ft Pierce, FI 34982
Legal Description: Platts Branch Lot 5 (1.41AC)
Property Tax ID #: 2433-501-0005-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Installing Storm Panels one openings of the home.
e
FL 11398 R4
jaltional worK to De nerTormea
❑HVAC _ Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: .
Cost of Construction: $ 5200
Name Timothy & Jessica Russell
Address: 1405 Platts Ln
unaer tnis permit — ci
❑Gas Piping
Sprinklers
City: Ft Pierce, State:
Zip Code: 34982 Fax:
Phone No.771-216-5640
E-Mail:
a
Lot No.
Block No.
Left Side:
iNN'r'
Shutters ❑ Windows/Doors
Generator ❑ Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
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 Cir
City: Port St Lucie State. FI
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
Name: F
Address:
City: fit -Pierce. State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY:
Name: aJ21r7Tman
Address: 44*4:4�
City: P-Pat=t-
Zip: Phone:.
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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.
Sign �ofr//Contractor as Agent for Owner
S=�r/License Holder
STA
COUNTY OF S f� (,u,�� a
S
COUNTY OF Sk "e-
The forgoing instrum nt acknowledged before me
The forgoing instrumen was acknowledged before me
was
th is '7,1 day of V 20 7A by
this I-L day of 20 Z by
Name of person making statement
Name of person making statement
Personally Known \L OR Produced Identification
Personally Known L/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State -of Florida)
D. Moore
(Signature of Notary Public- State of FloridaSheryl )
Sheryl D. Moore
Commission No. NOTARYSI�WPLIC
Commission No. NOTARYPUBWal)
TATE OF FLORIDA
-+ STATE OF FLORIDA
. Comm# GG945237
,z Comm# GG945237
xpires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17