HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u�1
Date: 1 e. Permit Number:
RECEIVED JAN 2 6 2011
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Carport
PROPOSED IMPROVEMENT LOCATION: .
Address: 21 Octavio, Fort Pierce FL
Legal Description:East'-2 of Section 1 Township 34S Range 39 .E less N 1069.59 '
lying, N & W of Turnpike Feeder Road
Property Tax ID#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Spanish Lakes Country Club Villaa,Y Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:-Replace- carpo,t.:12'x29 ' cin :ex;i:sting concrete
Replace storm damaged carport 12'x29 ' with 3"
composite roof
CONSTRUCTION INFORMATION::
itiona I wo rk to be oej orme d un d e th is permit-ch e ck a11 app y:
C_lHVAC U Gas Tank []Gas Piping Q Shutters Q Windows/Doors
QElectric Q Plumbing Q Sprinklers' (Q Generator Q Roof
Total Sq. Ft of Construction: Sq.. Ft.of First Floor:
Cost of Construction:$ 5,300.00 Utilities: li�]Sewer[]Septic Building Height:
OWNER/LESSEE::.-: _ ' CONTRACTOR: :
Name Trt-nr- Thr)rna Name: Jeff Jackman
Address:21 Octavio Company:Master. Craft Aluminum Prod,
City: Fort Pierce State: FLAddress:1634 Se Niemeyer Cir.
Zip Code: 34951 Fax: T City: Port St. LUcie - State: FL
Phone Na.466-4169 Zip Code: 34952 Fax:335-0860
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page {if different E-Mail: mastercraftaluminum@grail.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.
SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORMATION`.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: xNot Applicable
Name: Suncoast Aluminum Engin�rina Name:
Address:1363,0 58 St. N. Address:
City: Clearwater State: FL City: State:
Zip:33760 Phone: 727-532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name: Wynne ISuilding Corp. Name:
Addresst.3000 SOUETFUS On,' Address:
City: Port St. Lucie FL City:
Zip: 34952 Phone: 878-5513 Zip: Phone:
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 workgr recording our Notice of Commencement.
s
Si ture 0 n r/L ssee/Agent Sign ure f C t acto License Holder
STA O I STA FL ID
COUNTY O St. Lucie COUNTY O St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_2_7_day of December 201fa--by this_2Jday of Dt-r P_mhp_r 20''16 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publi -State of Flori D. � (Signature of Nota ubl' to q i&4,.
N NOTARY
Personally Known X 0 e � o � Personally Known P t
$ I�plL
Type of Identification Prod S' Type of Identification `�'��"�
•
Commission No. •( 1/112020 Commission No. ����/2o2u
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE i
COMPLETE 1 I r7 011
INITIALS