HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL Al
Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I O 1 q r , J
2 L ��19, Permit Number.
Building Permit Application RECEIVED
Planning and Development Services
Building and Code Regulation Division AUG 2 2 2019
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 fax: (772) 462-1578 Commercial Res uci ounty, Permitting
PERMIT APPLICATION FOR: Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: �'l0 0 0 C Itn 4MPmw`
Legal Description: 4 36 40 From SW cor outlot 1, runn alg W LI abd projection thereof 696.05 ft. to pob th run E 255 ft.
th N 75 ft th W 255 ft th S 75 ft to pob.less rdR/w
Property Tax ID #: 3404-111-0010-000/3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: o III
Construct patio cover 24'x5' on rear of the home. Roof will be composite, concrete is existing.
CONSTRUCTION INFORMATION: III
❑HVAC ❑ Gas Tank
[]Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,350.00
mr- cnecKau appry:
Piping _Shutters
nklers ❑ Generator
_ S Ft. of First Floor: _
Utilities:❑ Sewer ❑ Septic
❑ Windows/Doors
❑ Roof = Roof pitch
Building Height:
irOWNER/LESSEE:
CONTRACTOR:!
Name :5cdl E;wp"/1s
Name: J4P I0
Address: Ll(D0
Company: Master Craft Aluminum Products
City: -b & ' 0State: FL
Zip Code: 34982 Fax:
Phone No.579-9071
Address: 16 3-1 SE �+(� G,iot,,
City: K5L 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.
SL)Pf?LEMENTALC(?NSTttUCTl01VLIEN LCtiW11�F,Of2MATJOIV
DESIGNER/ENGINEER: _Not
N am e: Flonaa Aluminum Engineering
Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Add re SS: 5440 Manner Street#110
Address:
City: Tampa
Zip: 33609 Phone813-374-2403
State: FL
City:
Zip: .Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
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 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.
Inconsideration 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 recording your Notice of Commencement.
Signature r Les a/Contractor as Agent for Owner
Signatu Cc ctor/Li ense Holder
STAT OF D
ST TE O FL IDA
COUNTY OF de
CO Lucle
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 12 day of Aagaet . 20_ by
this 12 day of AagaSt 20_ by
Jeff Jackman
Jeff Jackman
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known , OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
AteD
(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida )
Commission No. SI1e��Al
Commission No. (Seal)
IVRY NOTARY PUBLIC
- ShwA D. Moore
STATE OF FLORIDA
NOTARYFPUBLIC
•
t JNNjras
jMAEORVISOR
C
REVIEWS
FRONT
PLANS
VWf
AFz &o
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
Ex
1
ELTI�
REVIEW
DATE
RECEIVED
I
DATE
COMPLETED
Rev.8/2/17