HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: =M—to— SCANNED Permit Numb
- -I ev BY
gwO_041 St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 VirginiaAvenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Shutter
PROPOSED IM PROVEM ENT LOCATION. -
Address: 14 Lake Vista Trail #203 Port St. Lucie FL 34952
Legal Description: Vista St. Lucie Bldg. 14 Unit 203
Property Tax ]D#: 3422-500-0192-000/2
Site Plan Name:
Project Name:
Setbacks Fro nt Back:
DETAILED D't',SCRIPTION OF WORk�,
Right Side: Left Side:
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2DI
Permitting Department
St. Lucie County, FL
Lot No.
Block No.
Install accordion shutters on four windows and one sliding glass door
CONSTRUCTION INFORMATION:
L1HVAC UGasTank
11 Electric D Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2400,
Dermit — cneCK aii appiy;
3as Pip V Shutters []Windows/Doors
Sprinklers 11 Generator 11 Roof = Roof pitch
S Ft of First Floor:
CLI
Utilities: Sewer []Septic
Building Height:
OWNER/LES81EE:
CONTRACTOR:
Name Joseph & Sharon Merrill
Name: Jeff Jackman
Address: 14 Lake Vista Trail #203
Company: Master Craft Aluminum Products
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 342-8727
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 feesimple-ritle Holderon nextpage( 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.
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UtblUN tK/ LINU IN tt:K: X INIOT Appiica Die
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip:
—Not Applicable
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 your Notice of Commencement.
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Signat e ner Lessee/Contractor as Agent for Owner
Signatu nt ac (or/License Holcle_r�
=FORIDA
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COUNTYOF Rt' Tm�ie
COUNTYOF Si-- T.11cie
The Ing instrument was acknowledged before me
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The forgoing instrument was acknowledged before me
Sept.
thIs5t dayof 2018 by
Jf-ff Jaekmpin
this 5_thday of St-jaf- 201& by
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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
kk.0'q'6. 4W,1�4_
Produced
(Signature of Notary Public- State of Florida)
(Signature of N(5tary Public- State of Florida
SW 0. Moore
Sheryl D. Mme
0'3" u
Commission No. OOOTARY PUBLIC
Commission No. MlRypustfeal)
VATE OF FLORIDA
&STATE
Cwaniii FF942362
OF FLORIDA
ConmW FF942382
'40"11-
Expires 1/15/202)
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Rev. 8/2/17