HomeMy WebLinkAboutBuilding Permit ApplicatiiontW --
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �/a %Z02Z Permit Number: 0_
0
399
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR:
Shutter
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Address: 8715 S US Highway 1, Port St Lucie, FI 34952
St Lucle Gmdens 263640 ELK 3That Panol'Lots 14 end 16MPDAF:Fmm SE Car Lot 14 Run NO Deg 1.5 min 42SecW385Ft For POB.7h S89Deg44 Min 1B SEC W2.04 Ft Th N27 Deg Min 29 SEC W239.
Legal Description:
18Ft, Th N 62 Deg 12 Min 31 SEC E 140 Ft to W RIW Us 1, Th S 27 Deg 47 Min 29 SEC E Ali; SD RAN 273.21 Ft, TH S 62 DEg 12 Min 31 SEC W 74.82 Ft, Th S B9 Deg 44 Min 18 SEc W 71.46 Ft to POB(0.91 AC) (CRI 195-22 10)
Property Tax ID M. 3414-501-1914-250-2 Lot No.
Site Plan Name: Block No.
.Project Name:
Setbacks Front Back: Right Side: Left Side:
Installing one accordion shutter on the store front.
EIHVAC LJ Gas Tank
Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction:,$ 2300.00
ing LJShutters.
ars ❑ Generator
S Ft. of First Floor: _
Utilities:Sewer Septic
QWindows/Doors
Roof Roof pitch
Building Height:
.. W i � � f r �(^*' � ` k�e-p .G"' J1't"a $ � iY.k' k'ii gd � 1 yry �eq•
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Name Ferkee Inc Kathy Dayball
Name: Jeff Jackman
Address: 5400 Sunset Blvd
Company: Master Craft Aluminum Products
City: Ft Pierce State: _
Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax:
City: Port St Lucie State: FI
Phone No. 781-799-5183
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above)
State or County License: SCC1311505B6
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requirea.
DESIGNER/ENGINEER: _ Not Applicable
Name: RnaprnndJWaad UaFFhM
Addre
City: =-t-q— State:
Zip: Phone
RMOOR:
MORTGAGE COMPANY: _ Not Applicable
Name:
Addres;�-�r
City: P- State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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.
SigKu wrier Lessee/Contractor as Agent for Owner
Si =urtracor/License Hol er , ._
S LORIDA
COUNTY OF Sf, Lu_C; t
SLORIDA
COUNTY OF
The fo oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisday of 9LA*n4 20-1,1 by
this]!2�,day of 9-w wt 20V by
Name of person making statement
Name of person making statement
Personally Known �� OR Produced Identification.
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P lic- State of Florida.)
(Signature of Notary'Public- State of Florida)
Commission No. �►� She
PUB�TC
D. Moore
Commission N'PUBLIC (Seal)
AIRY
STATE OF FLORIDA
V4-T"eryl
oATE OF FLORIDA
Commit GG945237mm#
GG945237
iN E j91 Expires
1/15/20
4
E Expires
1 15/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW'
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED .
DATE
COMPLETED
tev. 8/2/17