HomeMy WebLinkAboutBuildling 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
MR
Address: 5782 Travelers Way, Ft Pierce, FI 34982
Legal Description: Palm Grove S/D Blk D Lot 37 (0.12AC)
Property Tax ID.#: 3410-503-0133-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installing accordion shutters on the home.
11HVAC
11 Electric
"Shutters
0 Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 9300.00
Name Francis and Rose Uhland
Address: 5782 Travelers Way
City: Ft Pierce State:
Zip Code: 34982 Fax:
Phone No.856-371-1195
E-Mail:
Windows/Doors
Roof
S Ft. of First Floor:
Utilities:Sewer 0Septic Building Height:
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: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 your 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 Sk.LuyiCr
COUNTY OF S}•Luc iC_
The forrping instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this AV day of _'Ju+u, 20� by
this a► — day of 20 al by
':TaC/C,,.,�h
���� �ack��►-,-,
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 )
SpRyq Sheryl D. Moore
Commission No. °o NOTARY PUgg6I)
Commission No. -%W4 Sheryl D. Moore (Seal)
c STATE OF FLORIDA
aQ ° NOTARY PUBLIC
Comn* GG945237
o c STATE OF FLORIDA
REVIEWS
FRONT
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SUPERVISOR
PLANS
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17