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I' .�l.L APPLICABLE!NFO PJIUST BE COS IPLE_TED FOP.APPLICATION TO BE ACCEPTED
11. ✓
i Date: Permit Number:
RECEIVED
Building Permit Application SEP 2 2 2017
Planning and Development Services PERMITTING
Buil n`g and Lode Regulation Division li t. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of,line Sunroom
PROPOSED IMPROVEMENT LOCATION:
Address: 19 T,avi 1 1 a Wa)r Fort Pierce it
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Legal Description: 15 Lavilla Way SLCCV (SLCCV Leasehold Estates OR 2389-639)
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Property Tax ID tt: 1301-500-0620-000/4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
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Construct Catagory II sunroom under existing
truss roof on existing concrete with electric
to code. Bottom of room will have 24" -stucco.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check ail that apply:
F]HVAC Gas Tank [—]Gas Q Piping _Shutters xWindows/Doors
RElectric ❑Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction:_ - = Sq. Ft.of First Floor: I
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Cost of Construction:$ 8000.00 Utilities: Sewer Se tic BuIIlding Height: -
OWN ERAESSEE: . CONTRACTOR:
Name Daniel & nnnna Foradas Name: ,Teff .7arkman
Address:15 Lavilla Way Company:Master Craft`! Aluminum Product
City: Fort Pierce State: FL Address1;634 SE Niemeyer Circle
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Zip Code:34951 Fax: City: PSL State: FL
Phone No.412-849-8961 Zip Code: 34952 Fax: 335-0860
E-Maii:__ Phone No. 335-1 ] 77
Fill in fee simple Title Holder on next page(if different E-Mail:mas r -raf al umin m@cmail.com
from the Owner listed above) State or County License: SCCI131150586
j :r value of construction is$2500 or more,a RECORDED Notice of Commencement is required. ji
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# I .,UI''t _ LM1ehi L CONSTI,�iC1`tON LIEN LAW INFORMATION:
`NERJEN INFER: Not Applicable MORTGAGE COMPANY: Not Applicable
N�CIE: g1Jnrna Gt Al nmi niim F.n�i neeri na Name:
.A;aciress: 1 h 0 5 8 S _ N_ 1 01 Address: -
1 City..--_ Ol_arwater FL State:a 3 7 Ep City: I State:
-Zip:_ Phone:727_5-12_9000 Zip: Phone: 'I
FEE SIMPLE TITTLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name: X _ Name:
Address: Address: !�
City: City:
Zip: Phone: Zip: Phone: d
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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 restrict ions 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.
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_Sign ur wn essee/Agent Sig to of tra or/License Holder
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STA OO F I A STAT F FL R DA
COUNTY F St. Lucie COUNT O St. Ludie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6 day of September . 2017 by this 6 day of September 2017 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)II
(Signature of Notary blic-State of Florida) (Signatur of Notary ublic-State,;of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced ShegA D.Mo — Type of Identification VProl� Sh4 D.Moore
NOTAR NOTARY PU
Commission No. a )STATE OF FLORI ommission No. STATE(g,FJ.ORIDA
Comm#FF942382 Comm#FF042382
Exiolreft 111115/2020
Revised 07/15/2014 '
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REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW !REVIEW REVIEW J�
DATE -
COMPLETE
INITIALS I si
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