HomeMy WebLinkAboutBUILDING PERMIT APPLICATION:".UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
i:,aie: _ la eo Permit Number:777
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Buildi.ng Permit Application
DEC U 6 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: To Select from dropbox, click arrow at the end of line
Sunroom
PROPOSED IMPROVEMENT LOCATION:
Address: 33 Arboles del Norte
Legal Description: Spanish Lakes CCV Leasehold Estates Lot 33 Arboles del Nort
Property Tax ID — — �3�1-111-c'��aj -aad S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 27Back: 27' Right Side: 43' 10" Left Side: 12 2"
DETAILED DESCRIPTION OF WORK:
Construct Category II sunroom under truss roof on
existing slab with electric to code
CONSTRUCTION INFORMATION:
Adclitional work to be
performed un ert is permit —check all that apply:
�HVAC �J Gas Tank ❑Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 Sq. Ft. of First Floor:.
Cost of Construction: $ 12,000. Utilities: ❑Sewer ❑Septic Builriina Iaaiaht'
OWNER/LESSEE:
Name John& Sandra Shimeld
Address: 33 Arboles del Norte
City: Dorf- pierce State: __FL
Zip Code3 4 9 S 1 Fax:
Phone Ng3$_2_g7
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Jeff Jackman
Company: Master Craft Aluminum Ploduc
Address: 1-34Se
Niemever Circle
City: pal State: FL
Zip Code: 34952 Fax: 335-0860
Phone No335-1177
E-Mail: Mast ercraftalumin
—_i,m@amail,com
State or County License: SCC1311505/66
h value of construction is $2500 or more, a RECORDED Notice of Commencement is required
i
N "AL CONSTRO(-
ION LIEN LAW INFORMATION:
'ENGINEER:
FI ! _
Not Applicable --�--
PP MORTGAGE COMPANY: x— Not Applicable
$11i1cc»�t 11 imi nnm
F.nrri npt�r%T Name:
iElNan�C.;
l 3ti_30 S8 S rP t
N #1 n1 Address:
City: ___Clearwater
State: FL City: State:
1 j Zip:3.3-7ti0 Phone:?27,522
Zip: Phone:
;�
FEE 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 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 vour Notice oT Commencement.
_ Si aturgroiAwber/ ssee/Agent I SigVbture oMAtracto icense Holder
STATE OF i=LO IbA__/ S TE O' RIDA
COU O St. Lucie CO Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4thrlayof December 20 17by this 4tlliayof December 2017. by
Jeff Jackman
(Name of person acknowledging)
Jeff Jackman
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of NotaryPublic- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identificati uce Yl D. Moore Type of ifica8her�l�rAt<o
NUT
AR NOTARY PUBLIC
Commission No. STATE OF FOIQA Com ATE OF FLORIDA (Seal)
Comm* FF942382 _ Corrxn# FF942382
Revised 07/ 15/2014
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