HomeMy WebLinkAboutShaddock Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�1-24)'11� 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
PERMIT APPLICATION FOR: Aluminum without concrete
Address: 7303 Coquina Ave, Ft Pierce, FI 34951
Legal Description: Lakewood Park Unit 7 BLK 73 Lot 17 (Map 13/02N)(Or 3440-870)
Property Tax ID #: 1301-607-0094-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Installing a 16 x 12 screen room with a composite roof on existing concrete on the back of the home.
Iditional worK to bje nertormed u
L_ E1HVAC _I Gas Tank
Electric 1:1 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 5200.00
Name Joe Shaddock
Address: 7303 Coquina Ave
— cnecK an tnai a
3as Piping
Il Shutters
❑
Windows/Doors
Sprinklers
M
Generator
1:1
Roof
Roof pitch
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No.772-519-2537
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)
Name: Jeff Jackman
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: - � k
Add ress " ' G -- Ff P: CFI �a°��
City: - State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address• 1634 SE W=aW.
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: R ark = —
Address: 1nTc'
Citv: Port R '
Zip: Phone:
_ Not Applicable
State:
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 your Notice of Commencement.
Sign re ner/ ssee/Contractor as Agent for Owner
or/License HolderST
SCVF
E RIDA
I.t.�c,L
SDA
4,
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this iayof r. 20z1 by
this ay of r� 20J by
���� �aLk►au
"SP �� 1AC��nR-r,
Name of person making statement
Name of person making statement
Personally Known ,r— OR Produced Identification
Personally Known r 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 )
Sag A Sheryl D. Moore
N Commission No. �' N(MA PUBLIC
Commission No. Sb Sh eryl D. Moore
a Y PUB&eal)
o c STATE OF FLORIDA
N6'P'_
STATE OF FLORIDA
Comm# GG945237
'? i Cam# GG945237
EAxpire
S/NCE,9V_
Expires 1/15/202
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17