HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY -w
P,y!--^n_ a !"F MUST o f COMPLETED F= �CI�IVIY��J TO BE ACCEPTED
_,
(I �_cie: _ BY Permit Number:
I`
St Lude C013M RECEIVED
a FEB 0.8 2018
- Building Permit Application Permitting Department
Planning and Development Services
St, Lucie County
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 screen room
PROPOSED IMPROVEMENT LOCATION:
Address: 14497 Can . in
Legal Description: 06 07 34 39 All I that part lyg NELY of I-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.13
Site Plan Name: Block No. 27
Project Name: _
Setbacks Fro
Spanish Lakes Fadrw,
Back: _ Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: - I
Hurricane damage: Replace ll'x20' screen on
existing concrete with composite
roof
CONSTRUCTION INFORMATION: •.
Additional work toe Dertormed under tis —checkpermit a that apply:
�j
HVAC 11 Gas Tank Gas Piping ❑_ Shutters a Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 5, 200 _ 00
Sq. Ft. of First Floor:
Utilities: []Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Theodore Hoffman
Name: jiff ,Tar-kman
Address: 14497 Cancun
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 845-667-2587
Company: Master Craft Aluminum Produc
Address1-634 SE , Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code:34952 Fax: 335-0860
Phone No335-1177
E-Mails �tPrcra fta 1 �mi n �mf�gma i 1 om
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: SCC131150586
u vaiuu ui uunstrunion is.>.Lbuu or more, a rctwrcutu ivotice oT commencement is required.
I
=rj ._1r r I__IVigil''14)" ,L COi S T-R iC-1 ON LIEN
I
LAW INFORMATION:
:fir R/ENGINEER. Not Applicable
�i N rf!e: Suncgast' Aluminum FncrinePrj ng
�I A.caress:13630 58 St. N. #101
Gity. _ Clearwater State: FL
III Zip: _ 33760 Phone:It. 727-532-9000
FEE S"APLE TITLE HOLDER:
'Name:
Address:
City:
Zip: Phone:
x Not Applicable
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
�U111111cl I1.111r. VVUI R U1 11=LUI UI
Agent
INIUlll.e U1 uuminen Cemeni.
STATE-ef VLCj'Rk STAB
COUNTYO St. Lucie COU
The forgoing instrument was acknowledged before me
this S day of D mh r. 2QZby
Jeff Jackman
(Name of person acknowledging )
L
The forgoing instrument was acknowledged before me
this r_day of_nPraml-,ar .2Q 1 .7_by
Jeff Jackman
(Name of person acknowledging )
�- ,6L/1-4,L,a ZV,
(Signature of Notary Pu c- State of Florida ) (Signature of Notaryublic- State of Florida )
Personally Known X OR Prodreed Identification
Type of Identification Produced SAD luleoo9
Y PUBLIC
Commission No. OF FLORIDA
CWa& FF942382 w
Revised 07/15/2014
Personally Known X r®dldentification
Type of Identifi dWIARY PUBLIC
Commission STATE OF FLORIDA
FF9423okSea l)
ExpWM 1/15=20
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS