HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit ApplicationFEB 2 4 Z017
Planning and Development Services PERFAITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1SS3 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Carport
PROPOSED IMPROVEMENT LOCATION: . .
Address: 16 T 1 andi a T,anP, Pori Rf _ Tair•i P ,
Legal Description: Section 26 Township 36 "Range 40
Property Tax ID#: 3414-501 -1701 -00n/9 Lot.No.
Site Plan Name: Spanish Lakes One Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:. =
Storm damage: Construct 12 'x32 ' carport. Roof will be 3"
composite panel system
Concrete is existing
`CONSTRUCTION INFORMATION::. `.
Additional work to be nertormed under t is permit—check all h apply:
E1HVAC Gas Tank ❑Gas Piping rJ Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers. Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ S,800 00 Utilities: DSewer 0Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Cbar1nttP .Tr)nPG- Name: Jeff Jackman
Address:16 Islandia Lane Company�4aster Craft Aluminum Prod.
City: Port St. Lucie State: FL Address: 1634 Se Niemeyer Cir. .
Zip Code:34952 Fax: City: PSL - State: FL
Phone No. 621-9930 Zip Code: 34952 Fax: 335-0860'
E-Mail: Phone No.335-1177 I
Fill in fee simple Title Holder on next page (if different E-Mailmastercraf taluminum@gmail.com —
from the Owner listed above) State or County License:__SCC131150586
— III
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_ Not Applicable
Name: S un _oast. Al umi nnm Fnrri naari ntr Name:
Address:]_363,0 58t-h St ,iv, 7 7 Address:
City: r State:_ City: State:
Zip:3_376n Phone: 727-532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Wynne Buildincf Corp. Name:
Address:8000 South US One Address:
City: Port St. Lucie FT, 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 Count 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 grand'pg 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 re rding your Notice of Commencement. --
s
_Sign ure O n /L s e/Agent Signatur f Contractor/License Holder
ST E O DA ST E OF FLORIDA
COUNTY F St. Lucie CO NTY F St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ,Taniiary 20 ,I-by this-6-dayof januar-y 20l 7. by
T
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu61ic-State of Florida) (Signature of Nota Public-State of Florida)
Personally Known x 1).Moore I ' --- Personally Known cation
Type of Identification ProducOR04%of OF F11—GR-18A Type of Identificati STATE_OF F_I-ORIDA
Commission No. ( FF942382 Commission No. ' CowwWFF942=
E)Vres 111512020 res 1f�
Revised 07/15/2014
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW R IEW REVIEW REVIEW REVIEW REVIEW
DATE .,
COMPLETE
INITIALS
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