HomeMy WebLinkAboutGram Shutter Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '9) L) l-U 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
PERMIT APPLICATION FOR: Shutter
Address: 6666Tulipan, Ft Pierce, FI 34952
Legal Description: Spanish Lakes Fairways BLK 54 Lot 14
Property Tax ID #: 1306-500-0267-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side
Installing ten accordion shutters on the home.
FL# 13757 R6
witionalworKtope ertormed u
11HVAC Gas Tank
FlElectric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 7900.00
Name Lynn Gram
Address: 6666 Tulipan
r tnis permit — cI
Gas Piping
Sprinklers
Left Side:
all apply:
_ Shutters
Generator
Residential
Sq.
of First Floor: _
Utilities: L _1Sewer Septic
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No.561-301-5168
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Lot No.
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
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:
Address!
City: R-Pim e
Zip: Phone
FEE SIMPLE TITLE HOLDER:
State
MORTGAGE COMPANY:
Name:
Address: �
City: Po"t-L-�eie
Zip: Phone:.
Not Applicable
State:
Not Applicable I 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 recording your Notice of Commencement.
/ Lessee/Contractor as Agent for Owner
=OF
Si natu Con actor/License Holder
DA
s ukt {
STATE OF FLORIDA
4-,
COUNTY OF
COUNTY OF -S
The for�oing instrume t was acknowledged before me
"Z
The forgoing instrurrypnt was acknowledged before me
ZI 0-0
this day of a tJ� 2020 by
this day of J= , 20 by
5 � 'J A.C, Lr,.,
73 e r 4- '7z" -C -�M ,—
Name of person aking statement
Name of person making statement
Personally Known OR Produced Identification
Personally Knowny"OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
44_p_ f L VYL_ -t_
Q.J.
(Signature of Notary Public- State of Florida )
(Signature of Nota Public- State of Florida )
Sheryl D. �(1e
Commission No. Y
ZpRY Sheryl D. Moore
Commission No., NOTARY PUBL(Sea 1)
OTARYPUBt.IC
99 STATE OF FLORIDA
_ STATE OF FLORIDA
N-, GG945237
Comm# GG945237
Comm*
E191
Expires 1/15
024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17