HomeMy WebLinkAboutBuilding Permit Application 11-28-17;09:32AM; :772_I 467-3059 # 3/ 4
ALL APPLICABLE INFO Mm?- 14
LETED FOR APPLICATION TO BE ACCEPTE[� j �'JDate: Permit;Number: +�
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
.2300 Virginia Avenue,Forr Pierce FL 3a982
Phone:(772)462-1553 Fax:(772)462-1578 -Commercial I Reside da( x
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PERMIT APPLICATION FOR:
Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 6793 Dulce Real
Legal Description: 6793 Dulce Real(RIk 73 Lot 75 Spanish Lakes Fairways)
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Property Tax ID#: 1306-111.0001-000/0 I Lot No•
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Site Plan Name: Block No.
Project Name:
Setbacks Front S Back: a S' Right Side:/s' SS Left Side: ASS
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'.•D•ETAIL'ED MSCR•IPTION OF, QRK:
Hurricane Damage
CONSTRl7C1'I.ON 11VFORWT10.IU:
Additionalwar to-be Dertormed under this permit—c ec a -apply:
QHVAC Gas Tank EGas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers klers Generator; Roof Roof pitch
Total Sq.Ft of Construction: S .Ft,of First Floor:
Cost of Construction:$ 4500.00 Uti{ItiesSewer Septic Building Weight:
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Name Holan Dufais _ _ Name: Jeff Jackman
Address:6793 Dulce Real __ _ _ Company:_Master'Craft Aluminurn Products
Cry: Ft Plarce State:F1 Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax:— City: Port St Luciei __State:1:1
Phone Nv.672 3629 Zip Code: 34952 Fllx: 772`335-1177
E-Mail: Phone No. 772.335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastcrcrafi aluminum@gn ail.com
from the Owner listed above) State or County License: SGG13j1_I505�6
If value of cohstruccion is$7.500 or more,a RECORDED Notice of commencement is required.
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SUPPLEMENTAL CONSTR LIEN LAW INFORMATION:-..
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Suncoast Aluminum Engineering Name:
Address:13630 58th St N Ste 101 Address:
City: Clearwater State: Fl City: State:
Zip: 33760 Phone: Zip: .,Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: \ Name:
Address: Address: :
City: City:
Zip: Phone: \ Zip: Phone:
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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 our 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 wok or Epcording your Notice of Commencement.
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Signature ne Lessee/ ontractor as Agent for Owner Signat e n ct r/Li ense Holder
STAT OF L D STA E q F R IDA
COU t�uC1e COU Y St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument acknowledged before me
this day of IV DV- 20by this day of ,20 11by
(Name of person.acknowledging) (Name of person acknowledging)
(Signature of Notary Pub Tic-State of Florida) (Signature of Notary Publlic-State of Florida)
Personally Known OR Produced Identification Personally Known w 'I OR Produced Identification
Type of Identification Produced Type of Identification Produced D.Moore
Sheryll D.MIMS NOTARY PUBLIC
Commission No. NC[SMXPUBLIC Commission No. S )OFFLORIDA
STATE OF FLORIDA Calrrxn#FF842382
cmnl# 2382
Revised 07/15/2014
E�9� expires i1151202D
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA, TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETE
INITIALS
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