HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 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: John Whitney
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639) That Part of SEC As Shown
In Or 2389-639 Being Lot 1 Lagos del Norte (Or 3626-2444)
Property Tax ID #. 1301-500-0664-000-4 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back:
Installing accordions on the home
11HVAC
11 Electric
Block No.
Right Side: Left Side:
"Shutters
0 Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
Name John & Sandra Whitney
Address: 1 Lagos del Norte
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No.413-313-4322
E-Mail:
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
QWindows/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 $2500 or more, a RECORDED Notice of Commencement is required.
. .... ,C
DESIGNER/ENGINEER: _ Not 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. tQ
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 Ilk. wyi(,
COUNTY OF S}.Lucite
The foroing instrument was acknowledged before me
The for�oing instrument was acknowledged before me
20 by
this AV: day of �unc, _, 20� by
this a1s day of ;14nc. , al
�2�F SAcicrn�h
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Name of person making 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 Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
`pgyq SlSheryl D. Moore
Commission No—, ° NOTARY PU4Cal)
Commission No. tARvq Sheryl D. Moore (Seal)
OF FLORIDA
NOTARY PUBLIC
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