HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 ^�
Date: Permit Number: / z`7y 5S 0
EIVED
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- = Building Permit Application JUL 2. 2 2015
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: Window/door
PROPOSED. INPROVEIVI:ENT LOCATION;
Address: 14231 Aguila, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Fairways BLK 51 Lot 4 (OR 3647-2564)
Property Tax ID#: 1306-500-0188-000-8 Lot No.4
Site Plan Name: Sullivan Block No. 51
Project Name: Sullivan
Setbacks Front Back: Right Side: Left Side:
DET.,AILED•Dl•ESCR:IPTION OF'WORK:
Installing three windows in one opening on the back of the home.
CONSTRUCTION IN'FORMATIO'N � :`
Additional work toe e orme under tispermit—checka that appy:
11HVAC Ei Gas Tank F]Gas Piping ❑Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers El Generator 1:1 Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1200.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEECONTRACTOR:
� .
Name James&Karen Sullivan Name: Jeff_Jackman
Address:16 Olde Gate Ct Company: Master Craft Aluminum Products
City: Pooler State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 31322 Fax: City: Port St Lucie -FI
Phone No.803-920-5341Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminurri@gmail.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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW ]NFORMATI0N
pp MORTGA ,
DESIGNER/ENGINEER: x Not A licable GE 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 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 our Notice of Commencement.
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Sign=urr/Agent/Lessee Signature tR�)A
or/License Holder
STIDA STATE
COUNTY OF St Lucie COUNTY OF Sl Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2nd day of July 20LL]by this 2nd day of Juiy 200 by
el -r? � � :3-P_4V SGL
(Name of person acknowledging) (Name of person acknowledging)
{Signature of Notary Puu State of Florida) (Signature of Notary ublic-State of Florida)
Personally Known. . d Personally Known /OR Produced Identification
Type of Identification Pr NOTARY PUBLIC Type of Identificati r uMERYL D.�Jlt uyo-
STATE OF FL NOTARY PUBi.iC
Commission No. Com��156461 Commission No. STATE OF c :,($ ►)
Expires 1/15/2016 w� ��Comm#EEibrf'iiii
Explres 11/115;201(-
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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