HomeMy WebLinkAboutBuilding Permit Application ALL 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
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Address: 64 Mediterranean Blvd E, Port St Luice, FI 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 64 Mediterranean E (0.15 AC-6534 SF)(Or 4431-41)
Property Tax ID#: 3426-500-0943-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEt DE; T[tlU �f WQt I' ,
Installing three accordion shutters on the back lanai of the home.
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Additional work to be nertormed under this permit—Check all msu apply:
❑HVAC Gas Tank Gas Piping _Shutters Windows/Doors
FlElectric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3300.00 UtilitiestSewer Septic Building Height:
AMR
Name Vincent Albano Name: Jeff Jackman.
Address:64 Mediterranean Blvd E Company: Master Craft Aluminum Products
City: Port St Lucie State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34952 Fax: City: Port St Lucie State:FI
Phone No.609-349-3432 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone.No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC131150586
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
LET EN
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name__ Name:
Address:64 Mediterranean v Address: �'��iterreireen si�d E
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 recording our Notice of Commencement.
Sig 0 ne Lessee/Contractor as Agent for Owner Si ture C trac or/L+ ense Holder
STA F FLORIDA STATE OF FLORIDA
COUNTY OF 'S A , Luc+C. COUNTY OF �>T,L,uct'L
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�ay of 20�Q by this�ay of 20?.o by
34e J ac6w' __J�e s" �
Name of person making statement Name of person making statement
Personally Known / OR Produced Identification Personally Known _�-' OR Produced Identification
Type of Identification Type of Identification
Produced Produced
OZA410 M"— -
(Signature of Notary Pu lic-State of Florida) (Signature of Notary Public-State of Florida)
Sheryl D.Moore Sheryl D.Moore
Commission No. NOTARYI`MbC Commission NAV
PUBLIC(Sea I)
.+STATE OF FLORIDA -ESTATE OF FLORIDA
Comm#GG945237 Comm#GG945237
xp+res 15/ 24 x +res l/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