HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 1
ALL APPLICABLE INFO MUST'BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: L
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Building Permit Application
Planning and Developmentseivices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL-34982
Phone:(772)46271553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION IFOR: Aluminum without concrete j
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Address: 670 Senegal Ct,Ft Pierce, FI 34982
Legal Description: Palm Grove S/D BLK C Lot 17(0.17 AC)(OR 4132-2588)
Property Tax ID#: Palm Grove S/D BLK C Lot 17(0.17 AC)(OR 4132-2588) Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installing a Cat II sunroom on the back of the home under the existing truss roof. We will be installing
impact windows with electric.
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Mona workto e e orme under this permit—check�all=apply:
❑HVAC LJ Gas Tank Gas Piping _Shutters L1 Windows/Doors
aElectric 0 Plumbing Sprinklers q Generator Roof Roof pitch
Total Sq. Ft of Construction: • S . Ft.of First Floor:
- ;.,Co st of Constructions'$ Utilities: Sewer Septic Building Height:.
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Name James&Sandra Coy Name: Jeff Jackman
Address:670 Senegal Ct. Company: Master Craft Aluminum Products i
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie State:FI
Phone No.772-678-1483 Zip Code: 34951 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 j
from the Owner listed above) State or County License: SCC131150586 1
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 BONING COMPANY: _Not Applicable
Name:. Name: _
Address: Address:
City:
Zip: Phone: Zip: Phone:.
OWNER/CONTRACTOR AFFIMAT:Application is hereby made to obtain a•permitto do the work and installation as.indicated.
1 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 prohiblt 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(do hereby agree that 1 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-residentiai'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 rpmrding your Notice of Commencement.
Signs re er/ ee/Contractor as Agent for Owner Slgna re of �cwrmense Holder
STATE Of FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF -h;-"_`ti
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this.8 day of-October 20 21'by this 6 day of October 20.E by
Name of person inaking statement. Name of person making statement
Personally-Known y OR Produced Identification .Personally Known 1/ OR Produced Identification
Type of Identification Type of Identification.
Produced Produced
rs� (Signature of Notary ubblliew State of Florida) (Signature of Notary Public-State of Florida)
Commission No. ��-I�s � (Seal) Commission N Y(sea,)
ShWA D. Sheryl D..Moore
NOTARY PURL N TARY PUBl:IC
REVIEWS �'. A�Ic1O PERVISDR. PLANS S frIIlbEtl MANGROVE
EVIEW REVIEW C i237 REVIEW
DATE rpires 7/JM 124 E Aires 111IM02
RECEIVED
DATE
COMPLETED
.Rev.B/2/17