HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO JMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I, ' 7 1 7. Permit Number:
RECEIVED
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Building Permit Application NOV 14 2017
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
PROPOSED IMPROVEMENT,LOCATION.:
Address: 3 Octavio
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR2389-639) That Part of SEC As Shown
In OR 2389-639 Being Lot 3 Octavio (0.10 AC - 4,356SF)(OR 4031-1085)
Property Tax ID #: 1301-500-0855-000-0 Lot No.
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name: Sax
Setbacks Front Back: Right Side: Left Side:
DFTAIL'ED':DE.SCRIPTIO,N OF'WORK:.
ris�e,l(in� e CGAtori ff sunroum untie,- AU exis- nq rc.4 o n 4 bc�"LQ� 4e
.CONSTRUCTION'INFO.RMATION:' ^
Additional work to e e orme under this permit — check a at apply:
❑HVAC E] Gas Tank Gas Piping 1:1 Shutters a Windows/Doors
❑✓_ Electric ElPlumbing❑Sprinklers ❑ Generator ❑ Roof Roof
pitch
C 34 allr-4� "11owl
Total Sq. t of Construction: 20H S Ft. of First Floor:
Cost of Construction: $ 7500.00 Utilities: Sewer 0 Septic Building Height: 15
01NN ER/LESSEE CONTRACTOR:
Name Ronald Sax
Name: Jeff Jackman
Address: 3 Octavio
Company: Master Craft Aluminum Products
City: Ft Pierce State: Fl
Address: 1634 SE Niemeyer Cir
_
City: Port St Lucie _ _ _ State: Fi
—
Zip Code: 34951 Fax:
Phone No. 315-396-3098 _
Zip Code: 34952 —`Fax: 772-335-0860
E-Mail:
Phone No. 772-335-1177
I
Fill in fee simple Title Holder on next page ( if different
E-Mail: mastercraftaluminutn@gmail.com
State or County License: SCC131150586
from the Owner listed above)
Commencement is required.
If value of construction is $2500 or more, a RECORDED Notice of
IL
SUPPLEMENTAL,CONSTRUCTIO;N LIEN LAW.INFORIVIATIO'N:
DESIGNER/ENGINEER: _ Not Applicable
Name: Suncoast Aluminum Engineering, LLC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 13630 58th St N Ste 101
Address:
City: Clearwater State: Fl
Zip: 33760 Phone: 727-532-9000
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
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 worker recording your Notice of Commencement.
ractor as Agent for Owner I Sign
STAT R1DA STATEJ"f OORR
COUNTY M St Lucie COUNTY0FStL.de
The f r oing instrument s acknowledged before me
this day of ydII�� , 20 by
1 je�'f
(Name of person acknowledging )
(Signature of Notary Public- tate of Florida )
Personally Known y OR Produced Identification
Type of Identification Produced
Commission No. NOTARY PUBLIC
X&N STATE OF FLOM
Revised 07/ 15/2014
rise
The forgoing instrumenj was acknowledged before me
this _L) day of /V ,20 L by
(Name of person acknowledging)
(Signature of Notary Publlc- State of Florida )
Personally Known Y OR Produced Identification
Type of Identification Produced_-—_
)mmission No. _— (Seal)
..Rv._ Shell D. Moore
STATE OF FLOMDA
Comm# FF942382
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA T UR T I-E MANGROVE .
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE i?1
INITIALS