HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCAeN1NED Permit Nu
St. Lucie County
Building Permit Appli
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial x
DG-ac:;77
RECEIVE®
n JUN 13 2019
Permitting Department
_St. Lucie County, FL
PERMIT APPLICATION FOR: Window/door III
Address:,281 Tropical Isles Circle Fort Pierce FL 34982
Legal Description: White City S/D 10 36 40
Property Tax ID #: 3403-502-0288-00019 Lot No.
Site Plan Name: Tropical Isles Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace three doors in clubhouse
3amonai worK to De
0HVAC
11 Electric
errormea
unaer tms
Tank ❑Gas
Plumbing
perms—cnecK du
Piping _Shutters
Sprinklers
dppry:
ZWindows/Doors
Generator 0 Roof
_Gas
0
Total Sq. Ft of Construction:
Cost of Construction: $ 4,200.00
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:.
Roof pitch
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Name Tropical Isles Co -Op Inc. HOA
Name: Jeff Jackman
Address:281 Tropical Isles Circle
Company: Master Craft Aluminum Products
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-468-4968
Address: 1634 SE Niemeyer Circle
City: Port St. Lucie State: FL
_Zip Code: 34952 Fax: 772-335-0860
Phone No. 72-335-1177
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.
If
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Sl1PPLEMENTAL CONST,RIJCTI0IV LIEN LAW 1NFORMATI{3N
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
V Not Applicable
Name:ni
Name:
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Address: /40 S ,fL
/o
Address:
City: i , e IA 8ch
State:
City:
State:
Zip: .33`1-i.1 Phone RSrO-
3N-A0t
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 recording your Notice of Commencement.
Signature of Owner/ as / ontra for as Agent for Owner
tr cto License Holder
Signat�OJVC
STATE OF FLO IPA
STATRIDA
COUNTY OF st.w
COUNTY OF st Lucle
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this6day of May .20_ by 19
this 6 day of May , 2019 by
Je5 Jackman
Jeff Jackman
Name of person making statement
Name of person making statement
Personally Known - OR Produced Identification
Personally Known • OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of NotAy Public -State of Florida )
(Signature of Nota ublic- State of Florida )
Shay1 D. Moue .
Commission No. (Seal)
Commission LIC (Seal)
Shay) D. Mwe
STATE OF FLORIDA
NOTARY PUBLIC
Carrm# FF942382
EXPIP
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17