HomeMy WebLinkAboutBUILDING PERMIT APPLICATION' z-
-" RUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
10
ii Date: _ SCANNED Permit Number:
BY RECEIVED
s St Lucie County
Buiidirlig permit Application FEB 08 2018
Planning and Development Services Permitting Department
Lucie County
Building and Code Regulation Division St.
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 carport
PROPOSED IMPROVEMENT LOCATION:
Address: 69 Camino del Rio Port St. Lucie
Legal Description: 27 36 40 All that lyq E&N of St. Lucie River & W of US One
Property Tax ID #: 3427-1 1 1—0002-000/5 Lot No.
Site Plan Name: Spanish Lakes Riverfront Block No.
Project Name:
Setbacks Front Back: Right Side:_ Left Side:
DETAILED DESCRIPTION OF WORK:
Hurricane Damage: Replace 12'x22' carport on
existing concrete. Roof will be composite.
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under tis permit —check a t :apply:
FIHVAC L _J Gas Tank Gas Piping M_ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers E Generator El Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4,200.00
Sq. Ft. of First Floor:
Utilities: Sewer Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Ra rry Ciinrl i f f
Name: Jeff Jackman
Address: 69 Caminot l.del Rio
Company: Master Craft Aluminum Produc
City: Port St. Lucie State: FL
Zip Code:34952 Fax:
Phone No. 530-941-4497
Address1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 349*52 Fax: 335-0860
Phone No335-1177
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailer ai-Pr(-ra f to 1-um i num(agmai l _ com
State or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
tt
i ..'.1 t_iViL1v f.=1L c.0)VS I fzLiC l ION LIEN LAW INFORMATION:
`fi i F E, '(=i'ER/ENGjNEER. _ Not Applicab
- .
Npn!e: SuncoaSt' Alum i nurn Fn7 i neeri' n -
ess-.13630 58 St. N. #101
Gity. _ Clearwater State: FL
Zip:__. 33760 Phone: 727_532*_90Og
FEE SdVIPLE TITLE HOLDER: x Not Applicable
name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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.
7��,X ---z — -
_ Signtl
O er Lesse /Agent
STATE OF0
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this c day of December 2Q7---by
Jeff Jackman
(Name of person acknowledging )
s
Signa re ctor/Lice e Holder
STATE OFF RID
COUN St. Lucie
The forgoing instrument was acknowledged before me
this 5_dayof_December 20 1.7 by
Jeff Jackman
(Name of person acknowledging)
&:, - huve, I /���"
(Signature of Notary Pu lic- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Shell D. WWu
Commission No. NOT(�'I1UC
.. . ereTE OF FL.ORfIDP►
Revised 07/15/2014 Wtes
Personally Known X OR Produced Identification
Type of Identification Produc0.Moore
rtoTw� PUBuc
Commission No. . TEOFFL�>�►
Comm# Fpg42382- -
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