HomeMy WebLinkAboutWinch Shutter 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: Shutter
Address: 38 Grande Vista Way, Port St Lucie, FI 34952
Legal Description: St Lucie Gardens 26 36 40 That Part of BLKS 1 and 2 LYG ELY of US #1 As Shown In Or 2389-720
Being Lot 38 Grande Vista Way (0.11 AC-4792SF)(OR 3879-2858)
Property Tax ID #: 3426-500-0528-000-9
Site Plan Name:
Project Name: _
Setbacks Front
Lot No.
Block No.
Back: Right Side: Left Side:
Installing four accordion shutters on the home.
HVAC
❑ Electric
II Shutters
0 Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2100.00
Name Ann Marie Winch
Address: 38 Grande Vista Way
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772-233-2313
E-Mail:
S Ft. of First Floor: _
Utilities:Sewer Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
aWindows/Doors
Roof
Building Height:
Name: Jeff Jackman
Company: Master Craft Aluminum Products
Address: 1634 SE Niemyer 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 $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name.
Address•3°�V—=--� Oii3$ttneic,fl�4952
City: •Pon st Luci9. State
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name•-�
Address-3H vstawad
City: PO4ZZ — State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 16348E ie it 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 your Notice of Commencement.
Signat of a or cense Holder
Signature of 0 er a e/Co tractor as Agent for Owner
STATE OF
STATE OF FLORID
S fi� ��' �
COUNTY OF++'�
COUNTY OF
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this day of M0Vrr4-%
201 L by
this ay of N 20 by
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1 e Siwr►► o-e�
Name of person
making statement
Name of person making statement
Personally Known r/
OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
4_AL
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(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of FloridaSheryl )
Commission No.
y4 Sheryl D. Moore
Commission No. NOTARY�MOL)C
AR Y L C
NOTAR.
STATE OF FLORIDA
o STATE OF FLORIDA
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y ? Comm# GG945237
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DSUPERVISOR
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REVIEWS
FRO
IVING��
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17