HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO ACCEPTED
Date:. .. / �•�� Permit Number: � S
RECEIVED
Building Permit Application
Planning and.'DevelopmentServices JUL 2015
-Building and Code Regulotion.Division
2300 Virginia.Avenue,Fort Pierce FC 34982
Phone: (.7.72)462-1553: -Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION .FOR: ,Ta Select from.dropbox, click here
PROPOSEQ INPROVE1VINTLOCATION s ;;
Address: 3439 Southern Pin* es Drive, Fort Pierce
77
Legal Description: -Sunrise Homesites S/D Blk. 3 Lot 22
Property Tax ID##:. 2428-702-0063-000/4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: I Right Side: Left Side:
DETAILED D'ESCR.IPTION`.OF 1NORK
TnGta11 22 windows in 14 openincgs. Windows are PGT 5500 impact
windows.
CONSTRUCTION IN,FOR'MA`fl0'N
Additional work toe pertormed. .under t ispermit—check all tatapp.y:
HVAC Gas Tank ❑Gas Piping ❑Shutters Windows/Doors
Electric ❑ Plumbing 0 Sprinklers l Generator 11 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 12 , 400 .'00 Utilities: 11Sewer Septic Building_Height:
♦ � 5.6 {F w""�i[,.�� T ,� �„k A � '.�w. .� j it 4Yy I r,�l�SSER`� �y ,�� �`� �„ ��'�{ �£�y.I(L�t `��,.
Name ,Tames Anderson Name: Jeff Jackman
Address: 3439 Southern Pines Dr. Company: Master Craft Aluminum Prod.
City: Fort Pierce State:, FL 'Address:1634 SE Niemeyer Circle
Zip.Code: 34982 Fax- City: Port St. Lucie State:FL
Phone No. 631-0312 Zip Code: 34952 Fax: 772-335-0.860
E-Mail: Phone No. 772-335-1177
Fill in feesimple Title Holder on next page(.if-different E-Mail:mastercraf taluminum@cf mail.com
from the Owner listed above) State or County License:.SCC131150586
If.value of construction is$2500 or more,a RECORDED Notice of Commencement is required..
SUpPLFIfE1VTALCON'STF�UCTLON LAW-INFORM
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-
]'certify thatno work or installation has commenced priorto 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. Pleaseconsult 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: You-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
co men:ci. rk or recording, our Notice of Commencement.
Signat re o wn r/' Signa re C n ra or icen o er
STAT R STA E O LORIDA
COUNTY O St. Lucie COU OF St. ;
The forgoing instrument was.acknowledged before me, The forgoing instrument was.acknowledged before me
this�-day of July 20�-by this.21 day of July 2011Z]by
Jeff Jackman .TPff Jackman
.(Name of person acknowledging). (Name of person acknowledging..)
(Signature of Notary ubli -State } (Signature of Notary. ublic-S f' I rida
� EIS.MOORE qpR SH
�f�YL I�.PAO612
� NOTARY PUB(.IC -
Personally Known, y� f Personally Know. r�i�e 49bRification
w - � -SATE OF FLORIDA
Type ofidentification �_ Type of Identifica n P
Comm 156461
Commission No_ s�HCE} ExpireI'Sva11}5/2016 Commission No. s�ycE� Expires 1/95(1Qtq
Revised.07/15/2014
REVIEWS .:.FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW. . REVIEW REVIEW :REVIEW REVIEW
DATE.
RECEIVED - -
-DATE
COMPLETED