HomeMy WebLinkAboutEmskamp Shutter Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: qI 74 1 -Lo 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: 19 Florida Way, Port St Lucie, 171 34952
Legal Description: St Lucie Gardens 26 36 40 That Part Of BLKS 1 and 2 LYG ELY of US #1 As Shown In Or
2389-720 Being Lot 19 Florida Way (0.18 AC 7841 SF)(Or 4259-323)
Property Tax ID #: 3426-500-0358-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Installing eleven accordions on the home.
FL#13757 R6
HVAC
❑ Electric
Right Side: Left Side:
I'- I Shutters
0 Plumbing Sprinklers E Generator 1:1 Roof Roof pitch
Lot No.
Block No.
❑. Windows/Doors
Total Sq. Ft of Construction: _
Cost of Construction: $ 5900.00
Name Billy & Linda Emskamp
Address: 19 Florida Way
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772-528-7188
E -Mail:
SFt. of First Floor: _
Utilities:Sewer Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
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:9, OR&--Er=C4P
Address:
City: P State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name: ,ems =
Address:
City: PoFi State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Addresszd SF n a� �a�r f 'r 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.
Signature ne Lessee/ ontractor as Agent for Owner
..... . . .
Sig ure of ontr for/Lic
STA OF A
COU 011 S4
OF FLORIDA
COUNTY OF 51
. L IAI-i -c,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1 day of PhA;u4+- 20 -,?1) by
this U day of prYj� SA 20Zo by
n',vi
Name of person_rpaking statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P blic- S�tgt_e b ridea )
(Signature of Notary Public- State of Florida)
Sheryl D. M=_ e
Commission No. TARYP�IIc
NOTARY PUBi
Commission No. S E OF
S STATE OF FLORIDA
FLORID
�: Cotl'mm# GG945237
Col GG945237
9 ea
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Expires 1/15/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17