HomeMy WebLinkAboutBUILDING PERMIT APPLICATION".t.L _PF L!_- _F' ` �p F!' MUST EE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbe • O r. 1
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Building Permit Application AUG 151010
Planning and Development Services Department
Building and Code Regulation Division Permitting
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Category II
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PROPOSED IMPROVEMENT LOCATION:
'Address: 6042 Tr v 1 rG Way
Legal Description:(Palm Grove S/D Block D Lot 3 )
Property Tax ID #: 3410-503-90099-000/2 Lot No.
Site Plan Name: Block No..
Project Name:
Setbacks Front 22' Back: 19' Right Side: 76" Left Side: 7' 6"
DETAILED DESCRIPTION OF WORK:
Construct category II sunroom on existing concrete
under existing truss roof. Electric to code.
CONSTRUCTION INFORMATION:
Additional work to be erformed under tis permit —check all that apply:
1]HVAC
Gas Tank Gas Piping Shutters Q Windows/Doors
J Electric ❑ Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost Construction: OSeptic
of $ 5,000.00 Utilities: Sewer Building Height:
OWNER/LESSEE:..
CONTRACTOR:
Name Alan & Elaine Schmied
Name: .TAff Jackman
Company: Master Craft Aluminum Produc
Address: 6042 Travelers Way
City: Port Pierce State: FL
Address1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34982 Fax:
Phone No. 401-996-9348
Zip Code: 34952 Fax: 335-0860
E-Mail:
Phone No335-1177
E-Mail er Gt-- -ra fta 1 t,m i n um(agmai 1 com
Fill in fee simple Title Holder on next page (if different
State or County License: SCC131150586
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.1 ` ._itiaiLly"i;1L COtiSTFts iC.i'ION LIEN LAW INFORMATION:
i:J� IIIEER: Not Applica
'.c.arpss: 44-0 1 uinaia„d R:rAC�—
Gity: State: pT,
�iP:._3281 1 hone: 407-734-1470
FEE Si3diPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x— Not Applicable
State:
BONDING COMPANY: . x Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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.
_ Signatu o er/ esse /Agent
STAT IDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this �r� day of AUg S t , 20 Eby
Jeff Jackman
me of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Idea" o
Type of Identification Produced
SPATE OF FLORIDA
Commission No. 6FF942382
"Expires 1/15/2020
Revised 07/15/2014
\'�_'IkAe s
Signatur r or License Holder
STATE OF PrORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this I c _ day of 1- UgUst • 20L8— by
Jeff Jackman
(Name of person acknowledging)
A:�A�� h� --
(Signature of Notary Public- State of Florida )
Personally Known X OR Ptc�d�ification
Type of Identificatio d1WF•11811C
Commission No. SPATE F�Fl�OR�DA
Expires 1/1512020
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