HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'-' L=.?^L:: =DLC -'FO INIDST BE COMPLETED ED FOR APPLICATION TO BE ACCEPTED
Date:_ Permit Number: cam
SCANNED
RECEIVED
a— - BY
B Lff1dJ. 'J9 P@1MViit A p p I i c a t i o n FEB ® 8 2018
Planning 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 carport
I PROPOSED IMPROVEMENT LOCATION: I
Address: 3724 Pebble Beach Lane
Legal Description: Savanna Club Plat Phase' -Three Blk 41 Lot 37
Property Tax ID #: 3425-705-0038-000/ 1 Lot No._
Site Plan Name: Block No.
Project Name: z /
Setbacks Front Back: IS Right Side: 7. S^ Left Side: 7' .-
DETAILED DESCRIPTION OF WORK:
Hurricane Damage: Replace ll'x27' carport on existing
slab. Roof is composite.
CONSTRUCTION INFORMATION:
Additional wor to be Dertormed under tis permit —check all that apply:
�HVAC Gas Tank ❑Gas Piping ❑ Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Generator 1:1 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 wi11iam CarLb®
Address::3728 Pebble Beach Lane
Name: JAff Jackman
Company: Master Craft Aluminum Produc
City: Port St. Lucie State: FL
Zip Code: 34952 ^ Fax:
Phone No. 609-902-1841
Address1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 335-0860 '
Phone No335-1177
E-Mail a Gi-Prcra fta 1 imi n im(dgmail com
State or County License: SCC131150586
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i:=,L CONiS T•RuCi';ON LIEN LAW INFORMATION:
I F:EZ -!C-b-E�R ENGINEER: _ Not Applicable
?r!e: ' Suncoast Alumi nnm Fncri naari nrr
ci. r e SS-.13630 58 St. N. #101
�i City. _ Clearwater State: FL
Zip:_._33760 Phone: �27-53�—g99Ca---
FEE S-I 1PLE TITLE HOLDER: x Not Applicable
Name:
Address:
City/:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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 your Notice of Commencement.
_ Signa WF
Lessee/Agent
STA E
COUSt. Lucie
The forgoing instrument was acknowledged before me
this _ 5 day of Decemb .r. 247—by
Jeff Jackman
(Name of person acknowledging )
SignaWF.
License Holder
STATCOULucie
The forgoing instrument was acknowledged before me
this r; day of _nPr pm ar 20 , by
Jeff Jackman
(Name of person acknowledging)
y cry— �6A/k
(Signature of Notary Pu lic- State of Florida) (Signature of Notaryublic- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.PTARPUBYuC
c' STArEOF FLORID
CQ FF942382
Expttes
Revised 07/15/2014
Personally Known X OR Produced Identification
Type of Identifica=eWresi/15/2020
Sheryl D. Moore—
B120
Commission No.S�� F FLORIDA
FFS42382
_
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