HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date': u ' p Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services
®% ��)$
Building and code Regulation Division ST, Woe 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 SCANNED
BY
PROPOSED IMP.ROVEIVIENT.LOCATICIN, c+! I.;^r+�.,.��..
Address: IV Tikal Lane.Port St. Lucie
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
Site Plan Name: Spanish Lakes Riverfront
Project Name:
Setbacks Front Back:
ESCIPTION OF WOR1<:
,60R
Right Side:
Left Side:
Lot No.
Block No.
Hurricane Damage:
Construct 12'x22' replacement carport on existing slab using 3" composite roof system.
CONSTRUCTION 'IN FORMATION:
Addit(onal work to be nertormed under this permit —check a apply:
[]IHVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
(Electric Plumbing Sprinklers 11
Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,000.00
Sq. Ft. of First Floor:
Utilities: Lj Sewer E]Septic Building Height:
OIt�NER/LESSEE ::c -
;rC(JNTRACTOR, "
Name Albert Henson
Address: 6 Tikal Lane
Name: Jeff Jackman
Company: Master Craft Aluminum Products
City: Port St. Lucie State: F�
Zip Code: 34952 Fax:
Phone No. 860-857-6936
E-Mail:
Fillfee simple Title Holder on next page (if different
from the Owner listed above)
Address; 1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
mastercraftaluminum@gmail.com
E-Mail: @9mail.com
State or County License: SCC131150586
If value! of construction is $2500 or more, a RECORDED Notice of Commencement is required.
UP� ENTAL�O�UC""�£i�Lv tl
TIC}
MOW
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Applicable
Name:
—Not
Name:
Add ress:
.Address:
City:
State:
City:
State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
_
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I
R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
that no work or installation has commenced prior to the issuance of a permit.
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
leration of the granting of this requested permit; I do hereby agree that I will; in all respects, perform the work
lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
wing building permit applications are exempt from undergoing a full concurrency review: room additions,
y structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
the first inspection. If you intend to obtain financing, consult with lender -or an attorney before
!ncing work or recording your Notice of Commencement.,
Signature
O er/ L s /Contractor as Agent for Owner
Signatur of o r ctor icense Holder
STATE
ORIDA
STATE OF ORIDA
COUNTY
OF St Lucie
COUNTY OF St. Lucie
The for
oing instrumentwas acknowledged before me
The forgoing instrument as acknowledged before me
this
day of 20Ji( by
this day of 20 by
Jeff Jac
l man
Jeff Jackman
Name of person making statement
Name of person making statement
Perso
ally Known X OR Produced Identification
Personally Known x " OR Produced Identification
Type of
Identification
Type of Identification
Produced
i
Produced
(Signature
of Notar c-OffoblPF4 )
(Signature of Not ry PS -6f Florida )
Commission
NOTARY PUBLIC
No. re STATE OFFWIPA
NOTARY PUBUC
Commissi ORIDA (Seal)
Camrrdt FF942382
Co mr # FF942382
Fjores 1/15/2020
1/15/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER .
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
REVIEW
DATEI
RECEIVED
DATE)
COMPLETED
Rev.8/21/17 1 . v�