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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 PROP SE© PRE ATI Address: 9 Villa Blanca Legal Description: East 1/2 of Section 1 Township 34S Range 39E less the N 1069.59' lying N&W of turnpike feeder rd Property Tax ID #: 1301-111-0001-00015 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Installing a 20 x 10 three wall screen room on existing concrete Lot No._ Block No. Additional work to be ertormed under this permit —check all apply: 11HVAC Fi Gas Tank Gas Piping Shutters Windows/Doors ❑ Electric ❑ Plumbing Sprinklers 11 Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 6600.00 Utilities:Sewer Septic Building Height: Name Fournier Address: 9 Villa Blanca City: Ft Pierce State: Zip Code: 34951 Fax: Phone No.508-335-7778 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 Names Address — City: R-F*-ice State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Add res . Me eyerleir City: Zip: Phone: MORTGAGE COMPANY: Name: - Address: City: Porio� State: Zip: Phone: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: 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 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. Si atur wrier Lessee/Contractor as Agent for Owner Sig tur f, ntrac r/License Holder S AT L IDA STATE OF FLORIDA COUNTY OF bf Luul COUNTY OF Si• Lu-i(_. The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this l� day of 'De eery' i6w 20 2t by this (-� day of 20 a? by �c J JA&4,,, 5c;' Name of person making statement Name of person making statement Personally Known VK OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary blic- Statt of Ior' a (Signature of Notaryublic- State of Florida ) SD. e Sheryl D. Moore Commission No. NOTARYR_k&,C Commission NOTARY PUBLIC (Seal) ATE OF FLORIDA E!bIATE0F FLORIDA Comm# GG945237 Comm# GG945237 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17