HomeMy WebLinkAboutJackson 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: Shed site built
Address: 47 El Camino Real
Legal Description: Section 26 Township 36 Range 40
Property Tax ID #: 3414-501-1701-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installing a 12 x 12 shed with concrete.
Lot No.
Block No.
Haaitionai worK to oe errormea unaer tnis permit — cnecK all apply:
E1HVAC _ Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9875.00 Utilities:Sewer Septic Building Height:
Name Denise Jackson
Address: 47 El Camino Real
City: Port St Lucie State:
Zip Code: 34951 Fax:
Phone No.772-485-9408
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
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: e-4-k —
Address: ea
City: Rod-SLL-CL--- State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:,
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: Ja ackman
Addres .
City: 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 your Notice of Commencement.
Jer/Lssee/Contractor as Agent for Owner
Signa=OF
actor/L' ense Holder
Signa=OFRIDA
STA
COUNTY OF S�, a
STAT
COUNTY OF S�,
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The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this day of 20_ by
Name of of person making statement
Name of person making statement
Personally Known 1/ OR Produced Identification
Personally Known c.-' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(mot/ - f WW--A--
(Signature of Notary blip gate ooijimmore
(Signature of Notary Public- State of Florida )
NOTA Y P BLIC
Commission No. ST�F�ILRIDA
'' Sheryl D. Moore
Commission No0 NOARYPUBLI�ea_STATE
Comm# GG945237
1"""'
OF FLORIDA
o
El 9�Ex fires 1/15l2024
0= Comm# GG945237
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17