HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
L A?;^L:CA.CLE ;"'FO ,^USr BE CONIPLETEP6r— RR A PLrL TION TO BE ACCEPTED
SY
!1 C'ete: _. �� Permit Number:
St Lucie Cogent
�� •, i RECEIVED
Building Permit Application FEe ®s 7019
Plonning and Development Services Permitting Department
Building and Code Regulation Division St- Lucie County
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 Screen room
PROPOSED IMPROVEMENT LOCATION:
Address: 3828 Nimbi wi 1 1 court --
Legal Description: Preserve at Savanna Club Blk. 47 Lot 8
Property Tax ID #: 3425-706-0117-000/4 Lot No.
Site Plan Name: Savanna Club Block No.
Project Name: _ n
Setbacks Front
Back: C, Right Side: �� Left Side:
I DETAILED DESCRIPTION OF WORK: I I \ I
screen room on existing slab,
roof will be composite panels....
CONSTRUCTION INFORMATION:
Additional work to be ertormed under tis permit —check all that apply:
❑HVAC Gas Tank []Gas Piping ❑_ Shutters ❑ Windows/Doors
❑Electric 0 Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: 154 Sq. Ft. of First Floor:
Cost of Construction: $ 6 0 0 0 . 0 0 Utilities: ❑ Sewer ❑ Septic • Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Framci s R Time rRrharry
Name: .Taff Jackman
Address: 3828 Nimblewill Court.
Company: Master Craft Aluminum Produc
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No._? A-7—AA -4—n -1 r, n
Address1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 335' 0860
Phone No335-1177
E-Mailer gtarnra fta 1 nm i n um(dgma i 1 -com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: SCC13115 0 5 8 6
Vo .. — I - U UUL) UII 1b ?c3UU Ur II I U I C, d RCI.V RU CU IN OLICe OT LO mm en cem a ni Is required.
Lt..• r
-�vi:rl'v"i:tiL LOiSTkuC► ION LIEN LAW INFORMATION:
i i:j►Z� `.�: NOR/lENGiNEER: � Not Applicable
'[ Np.me: Suncoast' Aluminum Rncri naari nrr
;.
;� !.;areSS:13630 58 St. N. #101
f,! City-_._ Clearwater State: FL
El Zip:._._33760 Phone: �27-532—Q000
FEE Si-1h/iPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
x Not Applicable
State:
x Not Applicable
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 of Commencement.
s
_ Sig4rew er/ ssee/Agent Signat e ntQ
icense Holder
aa;¢'STAR A STA F COUSt. Lucie COUN . Lucie
The forgoing instrument was acknowledged before me
this 5 day of Decemb r, 2g7_by
Jeff Jackman
The forgoing instrument was acknowledged before me
this 5— day of narr.,pmher , 20 LZ by
Jeff Jackman
(Name of person acknowledging ) I (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known X iped"Tilt s_ PersonallyKnown 0�1 6ac ntification
Type of Identification Produ-NOTARYEOFFtORIDA —Type of Identific WTARYPUBUC
awn FF942382STATEOFFLOCommission No. 11�§w Commission No. Cantu#FF942PA1))
Expires 1/15/2020 Expires 1/15/2020
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
bh 1
COMPLETE
I
INITIALS
\