HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rnn
Date: —1— l 7 Permit Number: p0"l ^04M)
RECENED
Building Permit Application SEP 0 1019
Planning and Development Services De artment
Building and Code Regulation Division Per St. Lule Count'
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete III
Address: 8524 Viburnum Ct, Port St Lucie, FI 34952
Legal Description: Savanna Club Plat Three BLK 23 LOT 10 BY
Property Tax ID #: 3425-703-0094-000-7
Site Plan Name: ( A
Project Name:I d c
Setbacks Front U ' 7 Back: Right Side:
Left Side: I .S.'Ioz
Lot No. 10
Block No. 23
Installing a 24 x 11 freestanding carport on the side of the home.( -sl,, j IS e I)A-i "5
CONSTRUCTION INFORMATION:
itiona wor to a er orme un er t is permit— _Check a apply:
Onn
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5200.00
S Ft. of First Floor:
Utilities: []Sewer0Septic Building Height:
OWNER/LESSEE: _
-
CONTRACTOR:.;
`
Name Scott & Christine Jensen
Name: Jeff Jackman
Address: 6150 Center St Unit 800
Company: Master Craft Aluminum Products
City: Clayton State: �A
Zip Code: 94517 Fax:
Phone No.925-989-9807
Address: 1634 SE Niemeyer Cir
City: Port St lucie State: FI
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 LAWN/ INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: s --
MORTGAGE COMPANY: _ Not Applicable
Name: a e.'s
Address: ww er,
Address
City: State:
Zip: Phone
City: zw-sw � State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Add ress: 1634 SE Niemeyer Cir
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 recording vour Notice of Commencement.
Signatur of ontractor/License Holder
,/Les a/Contractor as Agent for Owner
SignatMQFRIDA
STAT
COUNTY OF S (, ut'61;t
STA LORIDAS_
COUNTY OF
The forgoing instrum�ent was acknowledged before me
this 16 day of �W 20_4 by
The for oing instrument as aFkn wledged before me
this dayof 20_/ by
5Po '�'
Name of person aking statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known ✓OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/�I/GlxM1Lw'
q '
,/o✓I"P/r�/%� lm/`�`�
(Signature of Notary Public -State of Florida)
(Signature of Notary ublic-State of Florida )
Commission No. She(y`IEOW00re
Commission No. (Seal)
- NOTARY PUBLIC
Sheryl D. Moore
STATE OF FLORIDA
NOTARY PUBLIC
REVIEWS
FRONT -/
Cam
NrWires
91MRSOR
PLANS
FLOR
VEGE • �PAMICR R218
A
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIE t E>+7 WN5/20
0 REVIEW
DATE
RECEIVED
DATE -
COMPLETED
Rev.8/2/17