HomeMy WebLinkAboutBuilding Permit AppALL 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
Address: Richard & Hannah Walsh
Legal Description: Spanish Lakes Riverfront Leasehold Estate (OR 2389-718) That Part of SEC As Shown In Or
2463-460 Being Lot 242 Camino del Rio (0.08 AC 3485 SF)(OR 4227-1798)
Property Tax ID #: 3427-500-0218-000-6
Site Plan Name: Spanish Lakes Riverfront
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Installing nine accordion shutters on the windows and lanai area.
Lot No. 242
Block No.
Aaaitional worK to be nertormed under this permit —check all apply:
11HVAC Lj_I Gas Tank Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers MGenerator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5800.00 Utilities: Sewer Septic Building Height:
Name Richard & Hannah Walsh
Address: 242 Camino del Rio
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772-878-1915
E-Mail:
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. FL
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 Applica
Name: na
Add ress .
City: Pe"a'� State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address.
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: - �
Address: Qa reo
City:
Zip: Phone:_
BONDING COMPANY:
Name:_
Address:
City:_
Zip: _
Pho
Not Applicable
State:
Not Applicable
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.
Sig ture 0 e/Contractor as Agent for Owner
Si ature o actor/Lice se Holder
STA RI DA
Si I DA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
OC_41w
this4iNay of DL41WA,. , 20U by
this day of 20A) by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
_I
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pu lic- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. j R ��yy ��II�
t q Sheryl D. Moore
Commission No NOTARY PUBLI(Seal)
NOTi4 YPUBLIC
STATE OF FLORIDA
ati? STATE OF FLORIDA
,L Cornm# G 945237
:s 0 Comm# GG945237
e� Expires 1/15/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17