HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED, FOR APPLICATION TO BE ACCEPTED
Date: 1 1- � Y • 17 Permit Number: J 7 �02
Building Permit Application
Planning.and Development Services NOY 14 2o17
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: 3708 Westchester Ct
Legal Description: 3708 Westchester Ct (Savanna Club Plat Phase three ELK 41 Lot 65)
Property Tax ID #: 3425-705-0066-000/8 Lot No. 65
Site Plan Name: Block No. 41
Project Name: f /
Setbacks Front Back: Right Side: Left Side:
DETAILED;DESCRIPTION OF WOR , k: J.,;
1156(11!b a 35 lob Gec54r,nd,3 Caya,4- on A s4ch 4a h,*v,
Oc�
CONSTRUC 10.U.)N,FORMATION
Additional work to be ertormed under this permit — c ec a t app y:
❑HVAC Gas Tank Gas Piping Shutters
❑ p g ❑Windows/Doors
Electric ❑_ Plumbing Sprinklers El Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: 4-:2 0 S of First Floor:
Cost of Construction: $ 6500.00 Utilities: Sewer Septic Building Height:
In
OWNER LESSEE
CONTRACTOR
T_ ,°
Name Jerome and Merrill Maryniewski Name: Jeff Jackman
Address: 3708 Westchester Ct Company: Master Craft Aluminum Products
City: Port St Lucie State: FI Address: 1634 SE Niemeyer Cir
Zip Code: 34952 Fax: City: Port St Lucie __ State: FI
Phone No. 336-8992 Zip Code: 34952 Fax: 772-335-1177
E-Mail: Phone No. 772-335-1177
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: SCC131150586
ljji if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. —
SUPPLEMENTAL CONSTRUCTION:LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Suncoast Aluminum Engineering
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 13630 58th St N Ste 101
Address:
City: Clearwater State: Fl
Zip:33760 Phone:
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 theJobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Sign aire-t5Y_Ovher/L ontractor as Agent for Owner
STATE O4J.ORIDA'St. Lucie
CO U NTY OF St Lucie
The forgoing instrument was acknowledged before me
this 10day of Nov. , 2013 by
1 Jeff Jackman
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced 01bU& Sheryl D.
Commission No.
Revised 07/ 15/2014
ntractor/License Holder
STAT-F-6F FLORIDA
COUNTYOFStt.ucle St. Lucie
The forgoing instrument was acknowledged before me
this 10 day of Nay , 20 17 by
Jeff Jackman
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced ___—.p,,_,,
�TATEOFFLORI Commission No.
Catvn# FF942382
Y PUBLIC
OF FLORIDA
Cm n# FF942382
.REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
i
COMPLETE
-�
INITIALS