HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��r� Permit Number:
Building Permit Application
Planning and Development Services ST. Lucie County, Parifdcu0g
Building and Code Regulation Division
2300-Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential f
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION: SCANNED
Address: 3712 Hydrilla Ct, Port St Lucie, FI 34952 BY
Legal Description: The Preserve at Savanna Club - BLK 48 Lot 11 (OR 3746-1238) St. Lucie County
Property Tax ID #: 3425-706-0152-000-1
Site Plan Name: Savanna Club
Project Name: Goodman
Setbacks Front �± .) Back:
DETAILED DESCRIPTION OF WC
Side:
Installing a 32 x 12 Carport on the side of the home.
INFORMATION:
L_IHVAC L_JGasTank
OElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5000.00
Lot No.11
Block No. 48
Sas Piping U Shutters 11 Windows/Doors
Sprinklers U Generator D Roof = Roof pitch
S Ft. of First Floor:
Utilities: Sewer E Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jesse Goodman
Name: Jeff Jackman
Address:3712 Hydrilla Ct
Company: Master Craft Aluminum Products
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.201-300-7340
Address: 1634 SE Niemeyer Cir
City: Port St Lucie State: Fl
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: mastercraftaluminum@gmail.com
State or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
m_
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:a==
Add ress: 3 t+v.: , ^A P=—_ a.2
_WVQ fr m• j (t
Address: aT+2 sa n ae�
City: ' '� „a
State:�110
City: Pcn&LLuao
State:
Zip: 3� Phone $)3
- 37`/ , v/o-3
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: iLAE�ir
Address:
City:
City:
Zip: Phone:
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 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
commencine work or recordine vour Notice of Commencement.
Signature of r essee Contractor as Agent for Owner
Si atur f trac r/License der
STAY OF FL A
Sfr ut'e
STATE O FLORIDA
'5 ( iG
COLIN
COUNTY OF
The forgoing instrum�t was acknowledged before me
this _ day of20iQI by
The forgoing instrumeV was acknowledged before me
thisZ day off/, 20 �Zi by
Name of pe(sEp'n making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification Sheryl D. Moore
Type of Identification
Produced E�ARfPUBLIC
Produced
a STATE OF FLORIDA
Sheryl D. Moue
Coinx* FF942382
NOTARY PUSLIC
STATE OF FLORIDA
(Signature of Notary Public -State of Florida)
(Signature o �dd )
y pQ ir�tll
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17