HomeMy WebLinkAboutcomplete Streaker Permit AppC3`1iVeA5 d C sf Le,cife c 0.0r)
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: it1 1 -4V Permit Number:
Building Permit Application
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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: 14477 Azucena Ct, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Lakes Fairways Leasehold Estate (OR 2380-1934) That Part of SEC As Shown In Or
2380-1934 Being Lot 14477 Azucena (BLK 31 Lot 8)(0.37 AC -16117 SF)(OR 4644-1380)
Property Tax ID #: 1306-501-0503-000-6 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installing a screen aluminum infill on the front and back lanai areas under the existing truss roof.
Haaitionai worK to De errormea unaer finis permit — cnecK an apply:
E1HVAC _ Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 2200.00 Utilities: Sewer Septic Building Height:
Name Eleanor Streaker
Address: 14477 Azucena Ct
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone N 0. 609-319-5024
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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Add ress:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _ of 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 Horne 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.
Signatu caper'
er ssee/Contractor as Agent for Owner
Sign ure f ntract r/License Holder
STA E OF RIDA
STA LORIDA
COU OF St. Lucie
COUNTY OF St. Lucie
The f rgoing instrument was acknowledged before me
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The for oing instrument was acknowledged before me
day N04-P�n -�' W by
this day of 20-V by
this33 of , 20
Jeff Jackman
Jeff Jackman
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State o
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(Signature of Notary Public- St%Shte f Flo ida )
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Commission No. SNOT? aP)UBLIC
STATEMF FLORIDA
IARY q oore
Commission No. _J °� NOTARYPU
TE OF FLORNA)
AW"'wwV4 Comm# GG945237
Comm# GG945237
W/4,01
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Rev. 8/2/17