HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMUST BE COMPLETED FC'R APPLICATION TO BE ACCEPTED 7
Date: goa,- oan
!; ���IVp�IVp��� Permit Number:
BY
u St Lucie Couniv
!i ti�•j -
'Id'
DUI ing Kermit Application
Planning and DevelopmentServices I
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1573
RECEIVED
FEB ®.
8 2018
Permitting Department
St. Lucie County
Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line carport
PROPOSED IMPROVEMENT LOCATION:
Address: 14386 Azucena Fort Pierce
Legal Description:
Property Tax ID #: 1306-111-0001/000/0 Lot No. 1
Site Plan Name: Spani ah T.akPg Fail ways Block No._-Q
Project Name:
Setbacks Front Back: Right Side: Left Side: '�/
I DETAILED DESCRIPTION OF WORK: I I
Hurricane damage: 'Replace carport 12'x22' on
existing concrete. Roof will. be composite.
CONSTRUCTION INFORMATION:
Additional work to Ieee orme under tispermit—checka apply: C
E1HVAC L Gas Tank Gas Piping Shutters a Windows/Doors
11 Electric E] Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: � Sq. Ft. of First Floor:
Cost of Construction: $ 4,300.00 Utilities: 1:1Sewer 11 Septic • Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles Roj o
Address: 14-186 A7.11cpna
City: Fart Pi r _P State: FT,
Zip Code: 34951 Fax:
Phone No. 63,1,_8()5_6243
Name: Jeff Jackman
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-Mail a Sf-Prnra fi-a 1 1mi n 1m@gmai 1 cam
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
State or County License: SCC131150586
IT value oT construction is $2500 or more, a RECORDED Notice of Commencement is required.
f•r'i-=iJi:L)y I.'1L CONS RIUC.I ION
R/;=NGINEER: _ Not
LIEN LAW INFORMATION:
icable
N n!c': Su
ncoast' Aluminum Fnrri naari nrr
4_'.6reSs:13630 58 St. N. #101
City. _ Clearwater 'State: FL
Zip:-._33760 Phone: 727—a32—Qnnn
FEE SidVIPLE TITLE HOLDER: x Not A plicable
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 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 exenl pt 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 RecoId 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 tolobtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement. _
_ SignafuAoA9`wneNLessee/Agent
STATWFVO-iFB'A
COUNT St. Luc
The forgoing instrument was acknowledged before me
this 5 day of December. 247—by
Jeff Jackman
(Name of person acknowledging )
(Signature of Notar"ublic-State of Florida )
Personally Known x OR Pr uced ifkmmwe
Type of Identification ProdUCSOF44k, rffARY MAX
STATE of FLORIDA
Commission No. 60*4FF942382
Expires •'i115/2020
Revised 07/15/2014
Holder
STAT-90F yLO`f3LDA
COUNI'jF St. Lucie
The forgoing instrument was acknowledged before me
this c; day of 1-)aramhar . 20 1 7_ by
Jeff Jackman
(Name of person acknowledging)
(Signature of Notaryublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification ProduLgd SheMD•�0°f°._
Commission No. STA'1'E� ORIDA
Cd 2382
• C Ares 1115020
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