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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 , tA Address: 14949 Tucan, Ft Pierce, FI 34951 Legal Description: Spanish Lakes Fairways Leasehold Estate (OR 2380-1934) That Part of SEC As Shown in Or 2380-1934 Being Lot 14949 Tucan (BLK 70 Lot 50)(0.13 AC -5663 SF)(OR 4633-2306) Property Tax ID #: 1306-501-1021-000-0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. Installing a screen room with acrylic windbreaks and electric under the existing truss roof of the home. Hacimonai worK to oe ertormea unaer tnis permit — cnecK aii apply: 11HVAC _ Gas Tank Gas Piping fil Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. of First Floor: Cost of Construction: $ 5800.00 Utilities: Sewer Septic Building Height: Name Richard Parr Address: 14949 Tucan St City: Ft Pierce State: Zip Code: 34951 Fax: Phone No.989-464-1203 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: 34951 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 Name Addres City: F++4-e State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Addres . it City: Zip: Phone: MORTGAGE COMPANY: Name: Address: 44"-46 City: pie. Zip: Phone:. BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: 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. Signatur of / Lesse Contractor as Agen or Owner Sig=reof racto License Holder STA R STRIDA COUNTY OF -54. %�^ COUNTY OF L44ei The forgoing instrument was acknowledged before me �i The foroing instrument was acknowledged before me day mac/., lati 2072 by this �dayof Derv. 20'tl by this of JeF .Jatil<.4.�,-, Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known 1,,' OR Produced Identification Type of Identification Type of Identification Produced Produced /4AA-10. `M--Pt4— ��J (Signature of of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Sheryl D. Moore 1AR Sheryl D. M Commission No. TARY P� _ NOTARY PUBLI��ggeeaa Commission No ATE OF FLORIDAI) STATE OF FLORIDA " '' ' i Comm# GG945237 Comm# GG945237 E Aires 1/15/20 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17