HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit.Number:
Building Permit Application RECEIVED
Planning and Development Services JUL 2 2 .2015
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: Shutter
w _
`PROPOSED IMPROVEMENT 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:
DETAILED DES ,R]PTION'.OFWORK
Installing nine accordion shutters on the home.
CONSTRUCTION IN;FORIVIATIO:N
Additionalwork to be ertormed under this permit—check all tth t appy:
1JHVAC Gas Tank E]Gas PipingI'J Shutters Windows/Doors
Electric ❑ Plumbin g Sprinklers Generator �'Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 3300.00 Utilities:Cn Sewer ElSeptic Building Height:
011VNER/LESSEE CONTRACTOR
Name James.&Karen Sullivan Name: Jeff Jackman
Address:16 Olde-Gate Ct Company: Master Craft Aluminum Products
City: Pooler State:146 Address:.1634 SE Niemeyer Cir
Zip Code: 31322 - fax: City: Port St LucieState:Fl
Phone No.803-920-5341 Zip 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: mastercraftaluminum@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.
SUPPLEMENTAL CONSTR"UCTION LIEN LAW INF"ORIVIATION`
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.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.
Signature O /A en Lessee SignataO
nt ac r/License Holder
STATE O O ID STATLORI A
COUNTY OF St COUNTY OF St
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2nd day of July 20L by this 2nd day of July 20=by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Florida) (Signature of lWtary.Publ c-State of Florida)
Personally Known OR r du0d4E AtR.CVf0oRE personally Known J OR Produced Identification
Type of Identification Prod NOTARY BL78 Type of Identification Produced�nEf�Y6
STATE O
E156461 NOTAR PU LIC
Commission No. Coif Commission No.
e . Expires 111512016 p SLATE S ORIDA
Comm#EE156461
Expiresi
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS " VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED