HomeMy WebLinkAboutStephens 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
Address: 14464 Isla Flores Ave, Ft Pierce, FI 34951
Legal Description: 06.34 39 That Part of SEC As Shown in or 2380-1934 Being Lot 14464 Isla Flores (BLK 30 Lot 30)
(0.14 AC)(or 4073-517)
Property Tax ID #: 1306-501-0487-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Installing four accordion shutters on the home.
Lot No._
Block No.
Aaaitional worl(t0 be ertormea under tnls permit — cneck all apply:
EIHVAC 11 Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2100.00 Utilities:D Sewer ElSeptic Building Height: _
Name Patricia Ann Stephens
Address: 14464 Isla Flores Ave
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No.772-595-1681
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
Roof pitch
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:
Name:
Address:
City:
Zip: Phone
Not Applicable
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
tate:
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 our Notice of Commencement.
ssee/Contractor as Agent for Owner
Sig ture�LORIDA
n ract r/License Holder
=SOF
STATE O
S"r+ (.ttit�+ �--
ORIDA
COUNTY OF
COUNTY OF
The forgoing forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this -)_ day of Mtl 20Pt by
this ) day of /'��j 120 X by
2- 4 a., �"'
Joxck knw�-
Name of person m king statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not lic pl WM a)
(SignatuVi�A.l�f Aft -OW FloridaNOTARY
PUBLIC
OTARY PUBLIC
Commission Nco� STATE OF FL�I*
CommissATE OF FLORIDA (Seal)
Comm# GG945237
ommik GG945237
CE 10'AeExpires 1/15/2024
yCE�9�Expires 1/15/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17