HomeMy WebLinkAboutChambers 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: 6456 Alemendra, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Fairways Leasehold Estate (Or 2380-1934) That Part of SEC As Shown In Or 2380-1934
Being Lot 6456 Alemendra (BLK 75 Lot 41)(0.13 AC - 5663 SF)(Or 4549-926)
Property Tax ID #: 1306-501-1171-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Installing a screen infill with acrylic windbreaks. In accordance to R301.2.1.1.1.1 aluminum structure
design. Vinyl, tempered glass, and acrylic panels shall be permitted and shall be removable.
Removable panels SHALL be removed when wind speeds exceed 75MPH. Also, installing a front
screen infill under the existina truss roof on the front of the home.
_ "Shutters
Electric Plumbing. Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 6800.00
S Ft. of First Floor: _
Utilities:Cn Sewer Septic
Name Richard Chambers
Address: 6456 Alemendrs
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No. 775-846-7756
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
❑ Windows/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 A
applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 our Notice of Commencement.
Rev.8/2/17
Sign ure 0 er/ Le ee/Contractor as Agent for Owner
Sig ur o ntracto License o
ST TE O O
CO
STA F
�,"�—
OF
COUNTY .
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this � day of c 20d1 by
this s' day of � 20 1� by
Name of person making statement
Name of person m ing statement
Personally Known f OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of ��yjq,l. Moore
(Signature of Notary Public- State of Florida )
t
NOTARY PUBLIC
Commission No. — �STAI`E'6FFLORIDA
1 v Sheryl D. Moore
Commission No. � NOTARY PU�I§al)
Comm# GG945237
STE OF FLORIDA