HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFgXUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3d� I S Permit Number: t5dL( —
Building Permit Application
Planning and Development Services
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: To Select from dropbox, click here Front entry/infill
PROPOSED, N.PROVEMENT':LOCATIOX-
Address: 6707 Campanilla Court
Legal Description: Spani'sh Lakes Fairways Block 54
Property Tax ID#: 1306-500-0260-000/7 Lot No.
Site Plan Name: Spanish Lakes Fairways Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA;ILED'DESCR.IPTIO0N O:F'WORK:
F.nc1nGP from- Pntry with screen door and screen
=CONSTRUCTION,IIU- R.MATION
Additional work to be ertormed under this permit—check alf that appy:
EIHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
a
Electric ❑ Plumbing .Sprinklers ❑Generator El Roof
Total Sq._Ft of Construction: Sq. Ft. of.First Floor:
Cost ofC.onstruction:$ 600.00 Utilities: []Sewer-Septic Building Height:
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Name Sandra Arnold/Richard Cates Name:_,Teff ,Tackman
Address: 6707 Campanilla Court Company: Master Craft. Aluminum Prod.
City: Fort Pierce State:FL Address: 1634 SE Niemeyer Circle
Zip Code:, 34951. Fax: .City:Port St. Lucie State: FL
Phone-No. 248_420-9450, ZipCodb:34952 Fax: 3.35-0860
E-Mail: Phone-No..*- 335-1177
Fill in fee simple Title Holder on next page: if different E=Mail: mastercraftalumihum#amail.com
from the Owner listed above) State or County License:
If.value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
P
St3PPLElVIENTAL CONSTRICTION LIFN LA11a/ INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
.Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City:. City
Zi.p: 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.
1n 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.
.improvementsto your property. A Notice of Commencement must'be recorded and posted on the jobsite
before the first inspection. 1f you intend to obtain.financing, consult with lender or an attorney before
commenting work or recording our Notice of Commencement.
Signa re o eUALessee Signa r n acto License Holder
ST E 0 RSTA E F R
COUNTY OF Scie COON St. Lucie
The-forgoing instrument was acknowledged before me The forgoing instrument was,acknowledged before me
this day of 2DE]by this_da.y of 20�by
Jeff Jackman .7Pff jar•.kknan
.(Name of person acknowledging) (Name of person acknowledging.)
(Si,gnature of Not -Pub,ic-`State of,Florida,). (Signature o 'Notary.. ublic-State.of:Florida')
o:Personally`Kncwn x O red Identification Personally Known O.R Produced Identification
Type o a ioq T tiff ti �RE
yPjt3 f Yp NOTA LI
Com sTATE OF FLORIDA` (Seal) C TATE OF FLORIDA (Seal
samm 1 Comm
j �x Ires 1/15/2016. Exolros 1/15/2016
"Revised 0.7/15/2014 .
REVIEWS FRONT "ZO.NING SUPERVISOR :PLANS VEGETATION 'SEA TURTLE MANGROVE
CO.0-LATER - "REVIEW :REVIEW REVIEW REVIEW REVIEW 'REVIEW
DATE
;RECEIVED
DATE
-COMPLETED