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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - [ t" �I Permit Number: [C1 ©q'-w- V l� RECEIVED • _ it JAN 3.1 1019 Building Permit Application PormlitingDepartment Planning and Development Services St. Lucie Cps, NED Building and Code Regulation Division �� BY _ 2300 Virginia Avenue, Fort Pierce FL 34982 S(• LUCIe Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x county PERMIT APPLICATION FOR: Shed site built II PROPOSED IMPROVEMENT LOCATION: Address: 6 Islandia Lane Legal Description: Section 26 36 Range 40 Property Tax ID #: 3414-501-1701-000/9 Lot No. Site Plan Name: Spanish Lakes One Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: , t, Construct four wall shed under existing roof of the carport. Concrete is existing. %YV CONSTRUCTION INFORMATION: Additional work to bepertormed under tispermit—check all apply: OHVAC Gas Tank []Gas Piping _Shutters QWindows/Doors 11 Electric 0 Plumbing / Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: &.4s r6f R S Ft. of First Floor: Cost of Construction: $ 7,200.00 Utilities:cn Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR:' Name Tom Richtarich Name: Jeff Jackman Address: 6 Islandia Lane Company: Master Craft Aluminum Products City: Port St. Lucie State:FIL Zip Code: 34952 Fax: Phone No.203-556-7241 Address: 1634 SE Niemeyer Circle City: Port St. Lucie State: FL Zip Code: 34952 Fax: 335-0860 Phone No. 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 C©NSfRUI lON LIEN LAW INFORIU7AT10N DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Fl =i rin Aluminum Rngi nepri na Name: Address: 5440 Ma as3g�c� ifl�0 Address: City: mamma State: FT, City: State: F,f1 Zip: 339 Phone 813_374_9403 Zip: Phone; FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: 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 commencing work or recordine vour Notice of Commencement. Sign ur o trac /License Holder Signatu _ / Les a/Contractor as Agent for Owner STA OF O STA F FL COIN F ct Lucie COON St- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of 20_ by ' Jpff Junkman this _ day of . 20_ by -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 Pub ic- State of Florida) .(Signature of Notary _State of Florida ) S Commission No. yPubDlic_ Ntoa' LIC Commi (Seal) NOTNA Pl7BLl0 4 c STATE OF FLORIDA SSAT�EY�B_pm 2382 CW1nWFF942382 . Gomt s 4fi 020 Expires 1/1 /2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17