HomeMy WebLinkAboutHanson Infill PermitALL 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: 30 San Roberto, Ft Pierce, FI 34951
Legal Description: East Half of Section 1 Township 34S Range 39E Less N 1069.59' Line N and W of Turnpike Feeder Rd
30 San Roberto, Ft Pierce, FI 34951
Property Tax ID #. 1301-111-0001-000-5
Site Plan Name:
Project Name: _
Setbacks Front
Lot No.
Block No.
Back: Right Side: Left Side:
Front and Back Screen Infill under existing truss roof.
❑HVAC
11 Electric
[]Sprinklers
L_I Shutters
Plumbing E Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2350.00
Name Russell Hanson (New CBS Home)
Address: 30 San Roberto
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No. 772-882-9809
E-Mail:
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Windows/Doors
Roof
Building Height:
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: 3 an Roberto, Ft P—Ie-rdr,-rm��
City: Q9i- State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 1634 SE Niemeyer Cir
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Nam ackman
Addres
City: Po 1e State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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 vour Notice of Commencement.
esse Contractor as Agent for Owner
Signatur=DA
Signatur C ctor/ icense Holder
STATE L
COUNTY OF_ S1
STATE RIDA
v � Cole
COUNTY OF . I'-,e-
The for oing instrume t was acknowledged before me
The forgoing instrument was acknowledged before me
'
t h i l day of 1 yytyl 20� by
this.2�day of 20 "i1 by
l ep+ �Scr
)-e6 ,TAck4
Name of person making statement
Name of person making statement
Personally Known 1,�' OR Produced Identification
Personally Known _/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Publi - State of Florida)
(Signature of Notary Public- State of Florida )
Sheryl D. Moore
t y Sheryl D. Moore
Commission No. a NOTARY(k&C
Commission No. NOTARY PURE& 1)
o STATE OF FLORIDA
-� STATE OF FLORIDA
z
" ? Comm# GG945237
2 Comm# GG945237
e
xpires 1/15/
024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17