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HomeMy WebLinkAboutComfort 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: Aluminum without concrete Address: 8306 Citrus Blvd, Ft Pierce, FI 34951 Legal Description: Lakewood Park Unit 8 Blk 89 Lots 5 and 6 (0.48 AC - 20800 SF)(MAP 13/02N)(OR1044-1030;3830-490) Property Tax ID #: 1301-608-0034-000-0 Lot No. Site Plan Name: Lakewood Park Block No. 89 Project Name: Comfort Setbacks Front Back: Right Side: Left Side: Installing a two wall screen room on existing concrete on the back of the home. Roof Product Approval # - FL7561-R4 E1HVAC 11 Electric II Shutters Plumbing OSprinklers E] Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 6100.00 Name Brian Comfort Address: 8306 Citrus Park Blvd City: Ft Pierce State: Zip Code: 34951 Fax: Phone No. 772-708-7737 E-Mail: S Ft. of First Floor: _ Utilities:Sewer Septic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) ❑. Windows/Doors 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:' Address: ga"Gii,- gLa449,, City: a - Zip: Phone MORTGAGE COMPANY Name: ki—n Address: 8�66�fi'QSPZIt lvd State: I City: — State: Zip: Phone: Not Applicable 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 your Notice of Commencement. Signa re ner ssee/Contractor as Agent for Owner Si ure o Crrct /License Holder STATETIF FLORIDA COUNTY OF 5 �� �� STATE OF FLORIDA �""""� ,t- COUNTY OF St. yrs.C, The forgoing instrument was acknowledged before me The forgoing instryy,� ent was acknowledged before me this Zi'lc�iay of Yt c, e nnb(nr 20 2J by this day of )deU_kT- )wl— 203g by 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 (Signature of Notary Public- Late $f oridea) (Signature of Notary Public- State of Florida ) eryl q , Sheryl D. Moore Commission No. NOTARYPUR1§6I Commission No. �! NOTARYPI(aggl) 0� I A I OF FLORi8A Comm* GG945237 M - _STATE OF FL1:-,.,;. ; a Comm# GC,94., :r<J 24 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17