HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� n
Date: SCANNED Permit Number:
BY RECEIVED
St. Lucie Count
NOV-0 6 2019
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Other III
Address: 55 San Luis Obispo Fort Pierce FL 34951
Legal Description: SLCCV Leasehold Estates Being Lot 55 San Luis
Property Tax ID #: 1301-500-0982-00/9 Lot No.
Site Plan Name: Spanish Lakes Country Club Village Block No.
Proiect Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF NORK:�
Construct Category II Sunroom on existing concrete under existing truss roof.
Egress light to code.
CONSTRUCTION INFORMATION;
OHVAC Li Gas Tank
ZElectric 0 Plumbing
Total Sq. Ft of Construction: 200
Cost of Construction: $ 8,000.00
Perrnn—aiecrc do dppiy:
Gas Piping _Shutters Windows/Doors
Sprinklers Generator ❑ Roof = Roof pitch
S�Ft.( of First Floor:
Utilities: I.�Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: . .
NamegathySearl
Name: Jeff Jackman
Address: 55 San Luis Obispo
Company: Master Craft Aluminum Products
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 332-7708
Address: 1634 SE Niemeyer Circle
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.
Yv
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 apermit 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 your Notice of Commencement.
/ e ontractor as Agent for Owner
Signatu f;L1
Si atu o C rector Licen eld�
STA O
IDA
COON Oda
COLINTYOFsLwne
The forgoing instrument was acknowledged before me
The foff'' BQing instrument was acknowledged before me
this �dayof �C XtJ .204C by
this �"��hiayof 0.60 20-Aby
Jeff Jackman
Jeff Jsclanan -
Name of person making statement
Name of person,tnaking statement
Personally Known =L_.� OR Produced Identification
Personally Known - LOR.Produced Identification
Type of Identification -
Type of Identification
Produced
Produced
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(Signature of Notary Pub [jofA@rb
(Signature of Notary ublic-State of Florida )
NOTARY PUBLIC
qy Shtxyt D. Mane
Commission No. _ g7EOF(l��tIDA
Commission NOTARY PUBLIC (Seal)
v Comm# FF94M
a STATE OF FLORIDA
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COR" �� 2382
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Rev.8/2/17