HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date: r 36 S Permit Number:
RECEIVED JUN 3 0 1015
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 `zilnCS
PRO POSED]NP-ROVE M:ENT:LO.CATIO.N.:- . 5942 Alexandria Circle
Address: 5942 Alexandria Circle Fort Pierce FL 34982
Legal Description: Palm Grove SD Block J Lot 1
Property Tax ID#: 3410-503-0253-000/0 Lot No.J
Site Plan Name: Block No.]`_
Project Name: Palm Grove
Setbacks Front Back: 'Right Side: Left Side:
;DETA-ILED:'D'ESCRIPTIO:N=O;F WORK.
Install ten accordion shutters to home.
- :1;,A,
CONSTRUCTION INFOR'MATFIGN
Additionalworlkto be-pertormed under this permit-check all that appy:
Gas Piping �_Shutters
E1HVAC Gas Tank Q Windows/Doors
Electric ❑Plumbing Sprinklers li Generator 1:1 Roof
Total Sq. Ft of Construction_ Sq. Ft.of First Floor:
- =--- — -- -- ---- -- -- - - ---= --- -- --- ----- -
Cost ofConstruction:$ 8 F 000_00 Utilities: Sewer. _Septic Building.Height:
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R ,�#➢��tG 'rJ'��'.�'�i..1 �.ASTM,.-i. �&��������r4`�''� r�� { W. 'ti' .... > R�,������� lv,F:P:��t` y�s�...:`S,�vF �t
Name Doug Barker Name: Jeff Jackman
Address: 5942 Alexandria Circle Company:, Master Craft Aluminum Productm
City.: Fort Pierce State: FL Address: 1634 SE Niemeyer Cir.
.Zip Code: 34982 Fax: City: Port St. Lucie State: FL .,.
Phone No. 603-539-5517- Zip Code:.1 34952 -Fax: 335-0860
E-Mail: Phone No: 335-1177
Fill in fee simple Title Holder on next page{if different E-Mailmast _ raft-a l iimi num@9ma; 1 _ om
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of.Commencement is required.
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SUP-P,LEMENTAL CO.NSTRUC.TION LI.E,N ,LA'w IN-FO:RMATIO:N-- :
.DESIGNER/ENGINEER: X 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:
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 thepermit 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 iapproved 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 our Notice of Commencement.
Signatu=or/ ent/Lessee Signa re ta r icense HoldeSTATE STA ORI
COUNTY OF St. Lucie COUNTY OF St. LLci e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Via—day of a � 20Lf by thisrzi.—da_y of June 20_U by
Jeff Jackman Teff Jarrkman
.(Name of person acknowledging) (Name of person acknowledging.) -
(Signature Pf.NotaryYlublic-State of.Florida,) (Signature of Notary.Public-State.of Florida')
P.ersonallyXnown X OR:Produced Identification Personally Known x -O:R Producedd I i
Type of-Identification Produc SHERYL D.MOORS— Type of Identification Produ A Y S W& 8ORE
NO T ARY PUBLIC
ST/
.Commission.No. S-q1taa)OF FLORIDA Commission No. FLORIDA
a Comm#EE156461 Comm# E156461
i� ►$ _ 115/961 kNCE 100 Expires 1/15/2016
Revised'07/15/2014
REVIEWS FRONT .ZO:NING SUPERVISOR PLANS VEGETATION 'SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW :REVIEW REVIEW REVIEW REVIEW
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