HomeMy WebLinkAboutBUILDING PERMIT APPLICATION".^.UST BE COMPLETED FQR APPLICATION TO BE ACCEPTED
_
Date: SCANNED � Permit Number: 12 'y�L
' BY
St Ude Countv
- RECEIVED
f Building Permit Application FFR fl.g 7010
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 fromldropbox, click arrow at the end of line screen rooir
PROPOSED IMPROVEMENT LOCATION:
Address: 81 37 Ath Tic)l P nri -,rP PqT.
Legal Description: Links at savanna C1 »h B1 c)rk 42 T.o 23
Property Tax ID #: 3425-707-0228-000/8 I Lot No.
Site Plan Name: Block No.
Project Name: I
Setbacks Front_2 1 4 9 1 Back: 16 i 'Right Side:_ Left Side: 11'
DETAILED DESCRIPTION OF WORK:
Construct 12'x3l' screen room on rear of home.
Concrete is existing.
CONSTRUCTION INFORMATION:
Additional work to eie orme under tispermit—c ec a atappy:
�HVAC LJ Gas Tank Gas Piping I_ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers IEl Generator Roof
I
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ A - 700 00 Utilities: E]SewerESeptic - Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Albert & Elizabeth Petersen
Name: .Taff jpckrnan
Address:8137 9th Hole Drive
City: Port St. Lucie State: FL
Zip Code:34952 Fax:
Phone No. R00-35t10
E-Mail:
Company: Master Craft Aluminum Produc
Address1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code:34952 Fax: 335-0860
Phone No335-1177
E-Maikc�rera fta 1 nmi n umAgmai 1 om
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or, County License: SCC131150586
i
n vdiue ui cunszrurnon is :pt�uu or more, a nt1_UKUtu Notice of commencement is required.
4j =;vl�iv'i:=;L c OiVSTRui✓iION LI
`i r' -� ' � 'r/ E1�1Gi 1EER. - Not Al
. ; ..ir" C-'V
iF:
LAW INFORMATION:
ica
!drr;rt: Suncoast' Aluminum FnrrinAerin�
A!.; u'ress:13630 58 St. N. #101
Gity. _ Clearwater State: FL
ip:-_. 33760 Phone:
FEE S ViPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
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 Asso' iation 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, sig17, 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 qr recording your Notice of Commencement.
_Sig ur O ner essee/Agent Signatur f o rad
STA O F O A STAT F LO IDA
COUNTY St. Lucie COUNTY S,
The forgoing instrument was acknowledged before me I I The forgoing instrument was acknowledged before me
this-9 _day of De m r, 20-7- . this 5—dayof nPr•Pmhpr ,20 1.7 by
I
Jeff Jackman
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) I
Sheryl D. Moore
Personally Known X OR Pro iaw± Bq IC
Type of Identification Produced OF FLORIC
Comm# FF9423=
Commission No. WItxpff8s 1/16 02
Revised 07/15/2014
Jeff Jackman
(Name of person acknowledging )
(Signature of Notary -Public- State of Florida )
Personally Known X OR P edSheryltrb
Type of Identification ProduM,,_-"1C*%0)FF942362
NOTARY PUBLIC
STATE OF FLORIDA
Commission No.
9/41,111F Expires 1115/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW i
REVIEW
REVIEW
REVIEW
REVIEW
DATE
(r I
COMPLETE
INITIALS