HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 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: Aluminum without concrete
Address: 1 Peru, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639)That Part of SEC As Shown In
Or 2389-639 Being Lot 1 Peru (0.20 AC -8712 SF)(Or 4673-2750)
Property Tax ID #: 1301-500-0874-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Installing a screen infill on the back of the home under the existing truss roof of the home.
Additional work to be ertormed under this permit — cnecK all apply:
�HVAC El Gas Tank ❑Gas Piping _ Shutters Lam. Windows/Doors
Electric 0 Plumbing Sprinklers F]Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1700.00 Utilities:Sewer OSeptic Building Height:
Name Jackie Leigh Stouffer
Address: 1 Peru
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-267-4542
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
N a m e-=emb-s*
Address: , � �i
City: c,�e State
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Add ress�4ir
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:4e#�
Address: up-,,
City: FWA gt+�
Zip: Phone:.
Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
te:
Not Applicable
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.
Signat w er/ ssee/Contractor as Agent for Owner
Sig ure ract /License Holder
ST ORIDA
Sfi,
ST FL0RIDA
COUNTY OF [AA4,; t
COUNTY OF -Sf, � t
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this -11:th day of r 20-IL by
this day of 12it .���a 20 Z 1 by
�� fir'' �o�.�.a►,
,�c�F �
Name of person�naking statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1
(Signature of Notary Public- t t 6fQl a)
(Signature of N� IidS 6)ollA�hreida )
NOTARY PUBLIC
NOTARY PUB
Commission No
c�
Commission N� -STATE OF FLOR(6Aa1)
ATE OF F9'I
Comm# GG945237
Cantu# GG945237
Expires 1/18/2024
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17