HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/21/15 Permit Number: �� /• V�� �.
RECEIVED
7, = Building Permit.Application JUL 1 Z
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: Aluminum without concrete
PROPOSED.IN P3ROVEIVI ENT.LOCATI ON
Address: 6128 Spanish Lakes Blvd, Ft Pierce, FI 34951
Legal Description: Lot 6128, Spanish Lakes Blvd, Ft Pierce, FI 34952
Property Tax ID#: 1306-111-0001-000/0 Lot No.6128
Site Plan Name: Kapostasy Block No.
Project Name: Kapostasy
Setbacks Front Back: Right Side: Left Side:
.DETAI'LED DESCRIPTION O'F'W'ORK:`
Installing a screen room under the existing truss roof of the CBS home. This is an infill.
CONSTRUCTI.QN hNFORIVIATION. _
Additional work to be nertormed under tis permit—check all that appy:
❑HVAC Gas Tank Gas Piping ❑_Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1500.00 Utilities:cn Sewer Septic .Building Height: 15
OWNER/LESS.EE CO.NTRACTQR.
Name Carol Kapostasy Name: Jeff Jackman
Address:6128 Spanish Lakes Blvd Company: Master Craft Aluminum Products
City: Ft Pierce State:Fl Address: 1634'SE Niemeyer Cir
Zip Code: 34951 Fax: City: .Port'ST.Lucie State:FI
_ Phone No.440-725-1411 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.
S.UPPLEM=ENTAL CONSTRUCTION LIEN,LAW INFORMAT]ON
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: r 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.l 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.
Sign=eo, n r essee i n u o ontractor/License Holder
STAR1 STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowled ed before.me The forgoing instrument was acknowledged before me
this 21st day of July '201 h by this 21st day of July 20_ by .
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida.) (Signature of.Notary Public-State of Florida)
Personally Known_ OR Producedg0gpV4=ib=RE Personally Known O,R Produced Identification
Type of Identification Produce 4, ,IrNTARY PUBLIC Type of Identification Pd SHERYL D.MOORE
NOTARY PUBLIC
ESTATE OF FLORIDA -i�;f STATE OF M+�IDA
Commission No.
'` A#EE15646I Commission:Na
xiiV I+xpires 111512016 .Comm#EE 156461
of a Ex ires 1/15/2016
Revised 707/15/2014
-REVIEWS FRONT -ZONING SUPERVISOR . PLANS VEGETATION, .'SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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