HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL=Ppi;`^CLL ;» c0 rr UST BE CDE`IPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
1 Flo- 01 (9
1
- _
1 _..._ Building Permit Application
Planning and Development Services
8u'Idi a d C d R I �• D' "
RECEIVED
ocr® 4-2010
0 .a
t ng n o e egu aeon rvrsron Permitting Department
?300 Virginia Avenue, Fort Pierce FL 3498� St. Lucie County
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Category II
PROPOSED IMPROVEMENT LOCATION:
dress: 6 Bolero Fort Pierce
;al Description: 1301-111-0001-000/5
Property Tax ID #: 1301-111-0001-000/5 Lot No.
S1I e Plan Name: Spanish Lakes Country Club Village Block No.
Project Name: •
cks Front_K)I^ Back: - ' K) 1Fri it Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Construct category IT sunroom on existing slab
I under existing
truss roof.
Electric
to code.
'CONSTRUCTION INFORMATION:
'Additional work to be erformed under t!s permit—c ec all
i
�HVAC _ Gas Tank Gas Piping
that apply:
❑ Shutters
R Windows/Doors
I
alectric
❑
Plumbing
Sprinklers
Generator
Roof
i
Total Sq. Ft of Construction: :60
Cost of Construction: $ 9,500.00
Sq. Ft. of First Floor: _
Utilities: []Sewer[]
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: .
Name John & Elaine Morton
Address: 6 Bolero
Name: jplff jp_rkman
Company: Master Craft Aluminum Produc
1 City: Fort 'Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 603-801-7791
E-Mail:
Address1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code:34952 Fax: 335-0860
Phone No335-1177
E-Mail-a Gi-arnra fta 1 ,mi n im(ag1 om
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: SCC131150586
;rvawe or construction is. zsuu or more, a KtcUKutD Nonce of Commencement is required.
IJ SI;Fi'LEMENIAL CONS I R�CTiON LIEN LAW INFORMATION:
(i aESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: __�6 Not Applicable
/address: 5440. Mariner � i� n�3 -
A�aress:
City: mamma Fr. State:
City:
State:
Zip: 33609. Phone: 81 -3—'374-240-4
Zip:
Phone:
I"EE SIMPLE -TITLE HOLDER: l� Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip:
Phone:
i -
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
which is in conflict with any applicable' Home Owners Association
will authorize the
rules, bylaws or and
permit holder to build the subject structure
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,
a! cessory 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
i provements to your property. A Notice of Commencement
must be
recorded and posted on the jobsite
I
before the first inspection. If you intend to obtain financing,
commencing work or recording our Notice of Commencement.
consult with
lender or an attorney before
I
Si ture f w e
Si tur f
/License Ho er
I
STA RIDA
STATE 0 FLORIDA
COUNTY OF St. Lucie
COUNTY OF
St. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument
was acknowledged before me
this 1 day of ,� l••� 20 &- by
this 3 day of
OC 20 h' by
Jeff Jackman _
Jeff
(Name of person acknowledging)
Jackman —
I�I
(Name of person acknowledging)
I
(Signature of Notary Public- State of Florida }
(Signature of NotaVy
Public- State of , iorida)
Personally Known X OR PLQ_ducecbW:15.cWb=
Personally Known
hwA ucod Identification
I
�yPUBLIC
Type of Identification ProduiW
Type of Id
nNpb
TE OF FLORIDA
STATE OF FLORIDA
i
Commission No. �FFQ42382 .
Commis
�Fg42382
111512020
Expires 111512020