HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' ` Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services NOV O 7 2018
Building and Code Regulation Division Si, Liacle County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR Aluminum without concrete
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BY
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Legal Description: 27 36 40 All that port lying E & N of St. Lucie River & W of US One
Property Tax ID #: 3427-111-0002-000/5
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Site Plan Name: Spanish Lakes Riverfront
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Hurricane Damage:
Construct 'replacement carport on existing slab using 3" composite roof system.
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Additional worK to Ye nertormed
EIHVAC
under
Gas Tank
this permit — check
Gas Piping
all
_
app y:
Shutters
❑ Windows/Doors
❑Electric F] Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost Construction: $ 4,500.00
0Sewer
of
Utilities:
Septic
Building Height:
i1NNER%LESSEE
COiNTRACiOR
NamjDave Bell
Name: Jeff Jackman
Address: 19 Quintana Roo Lane
Company: Master Craft Aluminum Products
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 812-6391
Address: 1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
E-Mail: mastercraffaluminum@gmaii.com
E-Mail:
Fill inlfee simple Title Holder on next page ( if different
from the Owner listed above)
i
State or County License: SCC131150586
IT valid oT construction is S25oo or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name':
.Address:
City: State:
Zip: Phone
i
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City: '
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to 'do the work and installation as indicated.
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 isl 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 accor',dance 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 our Notice of Commencement.
Signatu of r/ Le ee/Contractor as Agent for Owner
Signa re o tra or/License Holder
STATE OFF RIDA
STAT ORIDA
COUNTY OF St Lucie
COUNTY OF St. Lucie
The forgoing instrument was acknowledge,q before me
The forgoing instrument was acknowledged before me
this '+i day of , 20 by
this _Z�o day of 20 Y by
Jeff Jackman
Jeff Jackman
Name of person making statement
Name of person making statement
Personally. Known X OR Produced Identification
Personally Known X OR Produced Identification
Type'of Identification
Type of Identification
Produced
Produced
(Signature of Notary P lic- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. gd.Moore
Commission No. (Seal)
MNOTARY PUBLIC
FLORIDA
NOTARY PUBLIC
__rTATEoF
ATE OF FLORIDA
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DATE
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DATE
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COMPLETED
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Rev.8/2/17