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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 x Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line R©POSE , 11 �I1E13ENTLbCA �' /\ \ C c ... .._,w., ... ,. ...��.. ..�z c e. ,._�.._, .,_,,.�__ .... _ ..� \ ..\.i .. ,4 Address:_8719 S US Highway 1, Port St Lucie, FI 34952 Legal Description: St Lucie Gardens 26 36 40 BLK 3 THat Part of Lots 14 and 16 MPDAF: From SE Cor Lot 14 Run N 0 Deg 15 Min 42 Sec W 385 Ft For POB,Th S 89 Deg 44 Min 18 Sec W 2.04 Ft,TH N 27 Deg 47 Min 29 Sec W 239.18Ft,Th N 62 Deg 12 Min 31 SEC E 140 Ft to W R/W US 1,TH S 27 Deg 47 Min 29 Sec E ALG SD R/W 273.21 Ft,TH S 62 Deg 12 Min 31 SEC W 74.82 Ft,TH S 89 Deg 44 Min 18 SEC W 71.46 Ft to POB(0.91 AC)(OR 1195-2210) Property Tax ID#: 3414-501-1914-250-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Installing one accordion shutter on the store front. tNST 1NFCR AT �� / L t itiona work to be nertormed under t is permit-check all apply: E1HVAC Gas Tank Gas Piping _Shutters E]Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 2300.00 Utilities: Sewer Septic Building Height: 1.. / \\ \ c'�:� �\ a \\ ..\, ,a .Jam...' Name Ferkee Inc Kathy Dayball Name: Jeff Jackman Address: 5400 Sunset Blvd Company: Master Craft Aluminum Products City: Ft Pierce State: FI Address: 1634 SE Niemeyer Cir Zip Code: 34982 Fax: City: Port St Lucie State: FI Phone No. 781-799-5183 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(a)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. P LENA— a �ST1�CTl ?N LIENO t F Q v \ t DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: 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. Si atur wnLessee/Contractor as Agent for Owner Sig to Con ractor/License Holder STATE O FLORIDA STATEW FLORIDA COUNTY OF S4-, LAktk_ COUNTY OF S+. The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this day of Pect h1 s1— 20" by this Z? iay of 20 zd by Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known l OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-;hatelof Florida) (Signature of Notary Public-State of FloridaD. ) NOTARY PU J�_--S eryl D.Moore )Commission No c � � �-g�l) CommisIC (Seal0 oSTATE OF FLORIDATATE OF FLORIDA "� ?Comm#GG945237 Comm GG945237 Expires /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