HomeMy WebLinkAboutBuilding Permit Application USJ BE CONIPIL ED FOR APPLICATION TO BE ACCEPT�D J
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Building Permit Application APR I I 2T-17
and Development Services
it L:4ildin�and Code Regulation Division St. Luc;z.'
.woi.; 4igin,'o 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 Sunroom
PROPOSED IMPROVEMENT LOCATION: .
Address: 37 Arbol r3L-1 U0X_t_e &panJ -,h T-akes, Country club -Village
Legal Description: Spanish Lakes Country CLdb Village Lpasehole Estates
being Lot 37 Arboles del Norte (previous mobile home lot)
Property Tax lD#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: -2Q Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Construct catagory II sunroom on existing slab under
existing truss roof. (Converting rear lanai )
Electric to code.
CONSTRUCTION INFORMATION: .
Additional work to be ertormed under this permit-check all apply:
11HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
11 Electric E]Plumbing OSprinklers' 11 Generator 11 Roof
Total Sq. Ft of Construction: 200 Sq. Ft.of First Floor:
Cost of Construction: $ 8, 000 . 00 Utilities: OSewer ESeptic Building Height:
OWNER/LESSEE: CONTRACTOR:.
Name Fri 9 Donna Carrnl I Name: jt-ff Tar-kman
Address: 37 Arboles del Norte Company: Master Craft Aluminum Prod.
City: Fort Pierce State:FL Address: 1634 SE Niemeyer Cir.
Zip Code: 34 9 51 Fax: City: PST. State:-pT, i
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Phone No. 574-271 -9582 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: mastercraftaluminuvaqmail.com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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LSijPPLEM:ENTAL CONSTRUCTION.LIEN LAW INFORMATION:
:?4?51Ci11ER/[NGINEEFC: _Not Applicable MQRTGAGE COMPANY: x Not Applicable
1\1amec-Bj , aSt_A umi nnm. Fncri nPPr1 nca Name:
Address:_ h 0 58 h St- N- Ste 101 Address:
City:_Clearwater FL State:_— City: State:!
Zip: 33760 Phone: 7 -7-5-12-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 con 1,ct 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[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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_SignEOF
f n �Les a/Agent 5igna re f ontract nse Holder
ST L I STATE O FLORIDA
COUO St. Lucie COUNTY'OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4_day of April , 20 17 by this 4 day of April 20' 17_by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Noiary Pub c-State of Florida) (Signature of Notaff Public-State of Florida)
P Kft D• OR Produced Identification_ Personally Kno n R Produced Identification _
STM RID Typ tifATE OF FLOA— NO IJ� -- ----
Q FF942382 (Seal) C TATE OF FLORIDA (Seal)
Expires 1/1612020 , Can
Tres/115/2020
Revised 07/15/2014
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REVIEWS FRONT' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE NIANGROVE !
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REV'IEIN
DATE 7
COMPLETE
I INITIALS
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