HomeMy WebLinkAboutBuilding Permit Application6,; Ti!
4
A U APPLICABLE INFO PAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II
Date: _��' 2,3 �� Permit Number: l
® (rI-ECEIVED
Building Permit Application M
Planning and Development Services OCT 2U 17 3
Build. g and Lode Hegulairion iwsron PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 5t. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of -line Screen room
PROPOSED IMPROVEMENT LOCATION: .
Address: 7720 White Egret Lane Port St. Lucie
Legal Description: Eagles Retreat at Savanna Club Phase 2 Blk 64 Lot 3
Property Tax ID#: 3424-4702-0191-000/1 Lot No.
Site Plan Name: Block No.
Project Name: f i
Setbacks Front 1 V Back: 1 Right Side: ° Left Side:
DETAILED DESCRIPTION OF WORK:
Construct 10'x24' screen room on existing concrete
CONSTRUCTION INFORMATION:.
Additional work toe oertormed under this permit— check all h apply:
j
11HVAC I _I Gas Tank []Gas Piping Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ . 4 , 0 0 0 . 0 0 Utilities: 0Sewer I Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Douglas Eccleston Name: Jeff Jackman
Address: 7720 White Egret Lane CompanyMaster Craft Aluminum Products
City: Part St Luci e State: FL Address: 1634 Se Niemeyer! le i
Zip Code: 34952 Fax: City: Port St. Lucie StatL ~�
Phone No.�03 702-1800 Zip Code:34952 _ Fax: 335-0860 l
E-Mail: Phone No. 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
-- --
f value cif construction is $2500 or more, a RECORDED Notice of Commencement is required.
_j Al_ cbNSTR0- "ON, LIEN LAw INFORMATION:
_EER:Not Applicable MORTGAGE COMPANY: x Not Applicable
N-11�1'suncQast Aluminum Engineering-- Name:
1dress: 136,30 -58Street N. #101 Address:
State: FL City:
1 0 W:C_1�-. a rwa _t e r State:
T i p: - 3 2 7 6 0 Phone: 727-532-9000 Zip: Phone:
TEE SiMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
.Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installationhas 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
with
structure. Please consult 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 Coun.ty.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.
s
Siat e Ct) r/ Lessee/Agent
Signat 0 ctor/ Holder
ST=ORIDA
STATE WFA,
COUNTY OF St. Lucie
4T S
COUNT OF St. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 23 day of October 20 17 by
this 23 day of October 20 17 by
Jeff Jackman
Jeff Jackman
(Name of person acknowledging)
(Name of person acknowledging)
J-A 1//7,
(Signature of Notary PL[Klic- State of Florida)
Personally Known X OR Produced Identification
Type of Identification Produced mme
NQ
Commission No, TARY PUBLIC
*ATE OF FLORIDA
• Ccmffi# FF142382
(Signature of Notary Purbtic- State of Florida
Personally Known X OR Produced Identification
Type of Identification Pr uc
M�8-
Commissio rTARYPUBLIC (seal)
W
0 1 A 11: OF FLORIDA
COMM# FF942382
Expires 1115/2020 EXpire3.1/15/2020
Revised 07/15/2014
REVIEWS
FRONT ZONING
COUNTER REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
it
INITIALS