HomeMy WebLinkAboutBuilding Permit Applicationr • 1
ALL APPLICABLE INFO MUST BE COP... - TED FOR APPLICATION TO BE ACCEPTED
Date: )�• l� Permit Number:
J
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Building Permit Application
Planning and Development Services NOVV 14 4 2017
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: 3720 Pebble Beach Ln
Legal Description: 3720 Pebble Beach Ln (Savanna Club Plat Phase Three Blk 41 Lot 38)
Property Tax ID #: 3425-705-0039-000/0 Lot No. 38
Site Plan Name: Block No. 41
Project Name:
Setbacks Front_ Back: Right Sider Left Side:
DETAILED DESCRfPTION.OF WO` RK:: .,
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CONSTRUCTION 'INFORMATION-:
Additional work to be nertormed under this permit— check all apply:
11HVAC 0Gas Tank Gas Piping Shutters Windows/Doors
_
Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:' S . Ft. of First Floor:
Cost of Construction: $ 6000.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: .
Name Victor and Mary LaPlaca
Name: Jeff Jackman
Address: 3720 Pebble Beach Ln
Company: Master Craft Aluminum Products
City: Port St Lucie State: Fl
Address: 1634 SE Niemeyer Cir
City: Port -St Lucie State: Fl
Zip Code: 34952 Fax:
Phone No. 343-8764
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
^_
State or County License: SCC131150585
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT -or A LIEN:LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name: SuncoastAluminum Engineering
MORTGAGE COMPANY: — Not Applicable
Name:
Address: 13630 56th 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 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.
1� A4 xkol� - -
Sign o 0. r e Contractor as Agent for Owner
STA R
COUNTY OF StLude
The fo this /U o� yiooftrument w�sacknowledged -00 bfyre me
-3u
(Name of person acknowledging )
Cont
STATE OF FLORIDA
CO U NTY O F St Lud.
The forgoing instrument was acknowledged before me
this ID day of Vr)x/ . ,20 // %by
Je4 P S
(Name of person acknowledging)
(Signature of Notary Public- Mate of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced b;019
Type of Identification Produc LIC
STATE OF FLORIDA
Commission No. (�&AW142M
Expires 1/1612020
Revised 07/15/2014
Personally Known OR Produced Identification
Type ofldentificatio roduc&�I S1wy1D.�
Commission No.
NOTARY PUBLIC
STA V00 FLORIDA
Co m # FF942382
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