HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
, v
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: 135 Calle de Lagos, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639) That Part of SEC As Shown In Or
2389-639 Being Lot 135 Calle de Lagos (0.12 AC - 5227 SF)(Or 4241-1986)
Property Tax ID #: 1301-500-0184-000-5
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
Installing accordion shutters on the home.
Lot No.
Block No.
Haamonai worK to pe errormea unaer tnis perma — cnecK au apply:
11HVAC 1:1_ Gas Tank Gas Piping M Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: Sq.
of First Floor:
Cost of Construction: $ 6400.00 utilities: LJSewer Septic Building Height:
Name Robert Harleben & Judy Strouth
Address: 135 Calle de Lagos
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No.301-606-8554
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:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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.
Sig to e o wn r/ Lessee/Contractor as Agent for Owner
Si at r f ntr ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF —,)F.Luc'ic_
COUNTY OF St•Luc,;C_
The forging instrument was acknowledged before me
The forjoing instrument was acknowledged before me
this day of hint, 20aL by
this al= day of :Swrc 20 al by
Jwp SAC1CtP)^h
JCP-�- aack,-,,ti.,,,
Name of person making statement
Name of person making statement
Personally Known c../ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
�ARy Sheryl D. Moore
Commission No. NOTARY PU%6I)
Commission No. %RY4 Sheryl D. Moore (Seal)
c ATE OF FLORIDA
ae NOTARY PUBLIC
Comrr►i� GG945237
o c STATE OF FLORIDA
Il
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGE A ION EX
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17