HomeMy WebLinkAboutBuildingl Permit AppALL 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: 14408 Dalia Ave
Legal Description: Spanish Lakes Fairways Leasehold Estate (OR 2380-1934) That Part of SEC As Shown In Or 2380-1934
Being Lot 14408 Dalia (BLK 9 Lot 16)(0.13AC-5663SF)(OR 4294-2016)
Property Tax ID #: 1306-501-0466-000-4 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installing a screen infill on the Front of the home.
FHVAC
❑ Electric
L_J Shutters
Plumbing Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
Name Edward & Lisa Marie Conroy
Address: 14408 Dalia Ave
Sq. of First Floor: _
Utilities: 0 Sewer E]Septic
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No.315-591-4213
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
QWindows/Doors
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: :�4498-BaitaAve
City: rze' State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address
City:_
Zip: _
1634 SE Niemeyer Cir
Phone:
MORTGAGE COMPANY:
Name: ftrff-��
Address: 1447"a M%--
City: Pa' —
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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, l 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
rommanrina wnrk nr rPrnrriing vnur Notice of Commencement.
Contractor as Agent for Owner
Signature o�LORIDA
Sig atur C ntract r/License Holder
STATE ii
ST �
STATE OF FLORIDA
S4, Lu,,,
COUNTY OF ► �
COUNTY OF
The forgoing instrume t was acknowledged before me
The forgoing instrum nt was acknowledged before me
Q�e -!—
this y of 20` 11 by
this2A 4*day of 20J by
Name of person making statement
Name of person making statement
Personally Known l/ OR Produced Identification
Personally Known _�/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature. of Notary Public- State c h40 i8a
Y er�y�
(Signature of Notary Public- State of Florida )
�ptA SS
Commission No. o� "` °n NOTA�Yd94BLIC
Commission No. She D. Moor$Seal)
o STATE OF FLORIDA
r �r, �� NOTARY PUBLIC
Comm# GG945237
' '_= STATE OF FLORIDA
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REVIEWS
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SUPERVISOR
PLANS
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17