HomeMy WebLinkAboutBuilding Permit Application :772-467-3059 # 4/ 4
11-28-17;09: 32AM;
-3 COMPt CrED FOR APPLICATION TO 13 F ACCEPTED
Ji
n BOW g Permit Appl caioon
F?ic-n. 7 7 21 A C"
15.53 Fax:(772)462-1 78 15 commel-621 Residential x
PE140"41-Y APPLICATION FOR:
Carport
�)PO ED !TAPkOVEMENT LOCATION:
Addre-s:,_3 E1 Portal Port St. Lucie
Le,a,M Descriptjv,,--,,-. 2 7 36 40 All that part 1 bring E&E ofLSt. Lucie River &
W of, US orle
Property Tax ir)#: 3427-111-0002-000/3 Lot No.
Site Plan Name; Flock No.
Project Name;
Setbacks Froit S Back: j Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Hurricane damage: Construct carport 12'k25'
with composite roof. Concrete-, is existing
CONSTRUCTION INFORMATION::.
Additional work Co 13e ertormed unciertnis permit—thecK all apply:
0HVAC Gas Tank DGas Piping r]Shutters WiLowslDoors
Electric Plumbing 05prinklers Generator 11 Roof
Total Sq. Ft of Construction: So.5t.of First.
Cost of Construction:8 c;I' Sc-)c) a r) Utilities:L]Sewer[I SePEIC Building Height:
OWNER/LESSEE- CONTRACTOR:
Name 'RiChorA Wn I Sh_ -1c_J, kman
Address-3 FU Portal Cornpany:Mastei: craft Aluminum Products
City: Port St. Lucie _St'atQ:_KL Address: 1634 §E Niemeyer Circle
Zip Code3 4 9 52 Fax., city: Port St.TLucie St y
Phone No. 878-1915 Zip Code: 34952 Fax'. 335-0860-
E-mail: Phone No,335-11,77
Fill in fee simple Title Holder an next page(if different E-maba.sterc.raft'aluminum@qmail.com
from the Owner listed above) State or County License:SCC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1 f' l.IPi' _EMENTAI_ CONISTRUCTION LIEN LAW INFORMATION:
I;.0 I-1-'IGIN ER/EN GINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
i1.!. i�arne: Suncoast Aluminum Engineering' Tpame:
I Address: 13 6 3 0 58 St. N. #101 Address: f I 7
I City: State: FT, City:
Zi • 33760 Phone: 727-532=9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER: ... Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: . i
City: City:
Zip: Phone: Zip: Phone:
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 our Notice of Commencement.
I
s
_Signature of a esse /Agent Signatur o ractor/License Holder
STATE OF O STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF S;t. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this day of 120 _by
i
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Florida ) (Signature of Notary Public-State of Florida )
Personally Known X OR P ucet$IkWA- n Personally Known X� OR Produced Identification
Type of Identification Produc NOTARYPUBL�- Type of Identification P ced SheMID•Moae
STATE OF Mur" NOTARY PUBLIC
Commission No. V%1*10WOFF942382 Commission No. TATE OFf_W�IIDA
...411512020 Comm#FFWW2
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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