HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�^ LLAPPLICABLE INFO PAUST BE COMPLETED FOR APPLICATION TO BE -ACCEPTED
Date: la Permit Number: a"11 a-•o6_3�
i 4
MUM Permit Application
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: Carport
PROPOSED IMPROVEMENT LOCATION:
Address: 55 Camino del Rio Port St. Lucie
Legal Description: 2 7 36 40 All that part 10 E & N of St. Lucie River &
W of US One
Property Tax ID #: _ _ — Lot No.
Site Plan Name: Block No.
Project Name: _
Setbacks Front D S ' Back: 15" Right Side: 5' S5 Left Side: /- ' S
' DETAILED DESCRIPTION OF WORK:
Replace carport 12'x42' on existing slab
CONSTRUCTION INFORMATION:.
Additional work to bmrtormed under this permit -check
a apply:
�HVAC
Gas Tank
[]Gas Piping
_ Shutters
Q Windows/Doors
aElectric Plumbing
[]SprinklersE
Generator
Roof
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 11,000.00
UtilitiesESewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Rolland Phillips
Name: Jeff Jackman
Company aster Craft Aluminum Products
Address:-5.5 Camino del Rio
City: port St r.11ri - State:FL
Zip Code: 34952 Fax:
Phone No: q_ ILQB
Address:1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 335-0860
Phone No.3_35_1177
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: mastercraf-taluminum@qmail.com
State or County License: SCC131150586
—..._ UULIU11 lb �?cjvu U1 urvi Cr d nc1.vnvru ivoUee or commencement is required.
AL CONSTkl: CT'ION. LIEN LAW INFORMATION:
t F-�1 ,NFRJENGINEER: Not Applicable MORTGAGE COMPANY:
Nrrrit5uncoast Aluminum Engineering Name:
Aildress:13960 58 St. N. #101 Address:
City: C1earwatPr Stater_ City:
7ip:.__33 -fi� Phone: 727—r,32_Annn Zip: Phone:
-— Not Applicable
FEE SIMPLE TITTLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: _ 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 agd.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
commencine work or recording vour Notice of Commencement.
_ Signaure of OwN / Le ee/Agent
STAT OF D
COUNTY-'dF St. Lucie
The forgoing instrument was acknowledged before me
this _2-()_ day of Noember 20 Eby
Jeff Jackman
(Name of person acknowledging)
(Signature of Notary Publi - State of Florida )
Personally KVNE)Vres
d*m*Identification
Type ofldenYPUBLIC
OF FLORIDA
CommissionFF9423Mal)
1/15/2020
Revised 07/ 15/2014
s
Signa r
Co
dto)Z
/License Holder
STA E
COU
FSt. Lucie
The forgoing instrument was acknowledged before me
this _2 0_ day of Nnvr-mhc-r•201.7 by
Jeff Jackman
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally tTATE
R ced Identification
Type of IYcfuBu c
O ORIDA
Commissio FF942382 (Seal)
1/15/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
la Mir?
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INITIALS