HomeMy WebLinkAboutMcCafferty Permit App ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: Aluminum without concrete
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Address: 3374 Columbrina Cir, Port St Lucie, FI 34952
Legal Description: Savanna Club Plat Three BLK 11 Lot 48(OR 3950-1649)
Property Tax ID#: 3425-703-0036-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installing a freestanding carport at the front of the building.
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Additionalwork to a er orme under this permit—check a apply:
1]HVAC rl Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers F]Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 5100.00 Utilities:Sewer ElSeptic Building Height:
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Name William&Gerda McCafferty Name: Jeff Jackman
Address:3374 Columbrina Cir Company: Master Craft Aluminum Products
City: Port St Lucie State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34952 Fax: City: Port St Lucie State:FI
Phone No.321-215-5744 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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.
Sign a re 0 er/Les ee/Contractor as Agent for Owner Signa re of o ctor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 'st-1 LxA-c� G
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6 day of October ,20 21 by this 6 day of October 20� by
Name of person making statement Name of person making statement
Personally Known t/ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary ublic-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17