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
PERMIT APPLICATION FOR: Aluminum with concrete
Address: 8192 Sandwedge Terr, Port St Lucie, FI 34952
Legal Description: Savanna Club Plat Phase Three BLK Lot 12 (Or 4115-1498)
Property Tax ID #: 3425-705-0148-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Installing a 10 x 10 patio cover with concrete.
Residential x
Lot No.
Block No.
Haaitionai worK to oe ertormea unaer tnis permit — cnecK an apply:
FHVAC E] Gas Tank Gas Piping In Shutters Windows/Doors
11 Electric 1:1 Plumbing Sprinklers MGenerator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5500.00 Utilities:Cn Sewer F]Septic Building Height:_
Name Linda Auster
Address: 8192 Sandwedge Terr
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No.561-358-2212
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
Roof pitch
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
Name:
Add ress�
City: -P-t-�r=1 State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY:
Name:1&-*—
Address: a we 5 err
City: Pc" cry"^
Zip: Phone:
BONDING COMPANY:
Name:
Name:_
Address.-4 nP
Address:
City:
City:_
Zip: Phone:
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 0 n / esse Contractor as Agent for Owner
Si ture C tra icense Holder
STA -" F FLORIDA
COUNTY S��1
STATE OF FLORID 1
�.litC'��
OF
COUNTY OF7 1
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20LZby
this JZ: day of _ a,) di►�� , 20�by
D
T
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known L/— OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
c- SV"UIp )
(Signature of NoiS.i
(Signature of Notary Public- State of Florida )
NOTARY PUBCL,I�
Commission No. TE OF f#L'19f 6A
SA y4 Sheryl D. Moore
Commission No A' °n NOTARY PUBLI( eal)
Comm# GG945237
o STATE OF FLORIDA
Expires 1/15/2024
? Comm# GG945237
e
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17