HomeMy WebLinkAboutOwens 6036 R1 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: 6036 Indrio Rd R1, Ft Pierce, FI 34951
Legal Description: Indian Pines Village - Bldg R Unit 1 and Pro-Rata Share in Common Elements (Or 3499-1706)
Property Tax ID #: 1313-501-0127-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Installing two accordion shutters.
F_1HVAC
❑ Electric
Right Side: Left Side:
"Shutters
❑ Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1600.00
Name Jesse Owens
Address: 5357 Oakland Lake Cir
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No. 336-345-8914
E-Mail:
S Ft. of First Floor: _
Utilities:Sewer El Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
❑ Windows/Doors
Roof
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 52500 or more. a RECORDED Notice of Commencement is reauired.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Addre!
City: _
Zip: _
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
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 your Notice of Commencement.
Sign ure 0 er/ Le ee/Contractor as Agent for Owner
Sig ur o ntracto License o
ST TE O O
CO 5'k C"'P_
STA F R
OF
COUNTY S-)-,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 1W414 120,R1 by
this _4 day of 20,,�L 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-IAto of Sid. Moore
(Signature of Notary Public- State of Florida )
NOTARYPUBLIC
Commission No.
t y Sheryl D. Moore
Commission No. NOTARY PUW&aI)
STAMP FLORIDA
Comm# GG945237
- STATE OF FLORIDA
E 1910 Ex Tres 1/15/2024
Comm# GG945237
e
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17