HomeMy WebLinkAboutBuilding Permit Application it
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a��l\1 Permit Number: 11 �a- dl�l3
RECEI D FEB 082017
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: To Select from dropbox, click arrow at the end of line Carport &
PROPOSED IMPROVEMENT LOCATION: . screen room
Address: 51 Camino del Rio, Port St Lucie
Legal Description? 36 40 All that port lying E&N of St. Lucie River & W
of US O•ne
PropertyTaxlD#: 3427-111-0.002-000/5 Lot.No.
Site Plan Name: Spanish Lakes Riverfront Block No.
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Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: =
Storm damage: Construct 12 'x 30 ' carport and 12 'x21 '
screen room using 3" composite roof panels
Concrete is existing.
CONSTRUCTION INFORMATION::
Additional work toe nertormed under t is permit—check aMShutters
app y..
(E1HVAC l JGas Tank Gas Piping _ a Windows/Doors
Electric Plumbing Sprinklers [Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $8.100 _ 00 Utilities: 0Sewer D Septic Building Height:
OWNER/LESSEE: ;.; CONTRACTOR: .
Name Bernard & Bev Bassett Name: Jeff Jackman
Address:51 Camino del Rio CompanyMaster Craft Aluminum Prod _
City: PSL State: L Addre5s1634 Se Ni PmPyer Ci r
Zip Code: 34952 Fax: City:PSL Stater
Phone No._8:z1 —01 91 Zip Code: 34952 - rax:-3-3-5_9R_60—
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page (if different E-Mailfnastercraftaluminum@gmail.com
from the Owner listed above) State or County LicensOCC131150586
If value of construction is$7.SbO or more,a RKORDED Notice of Commencement is required.
SUPPLEM.LENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_ Not Applicable
Name: SuncnaGt Al limi num Fnrri nPari nrr Name:
Address:]_363,0 58 h St- _ N Address:
City:—Ci Aa }wr State: FL City: State:
Zip: -137tin Phone: 727-532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Wynne Building 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 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.
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_Signa re o w r/Les ee/Agent Signa re o ont ac or ense Holder
STATE IDA STA F FL IDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _day of. Ta n»a ry , 20 1_7by this _day of— january 201 7. by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) (Signature of Nota ublic-State of Florida)
Stwyl D.Moore ShwA D.Moom
Personally Known X 0 d > eau�c Personally Known X �' � (�C
Type of Identification Produ P OF ci tD Type of Identification Prod ` DA
. Conr 0 FFe M
Commission No. =eal Commission No. v�s�ozo
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW R VIEW REVIEW REVIEW REVIEW REVIEW
DATE !!��
COMPLETE of
INITIALS
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