HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLEEIINF�1O MUST-
�BECOMPLETED FOR APPLICATION TO BE ACCEPTED ;�
Date: ( r,I Per Number: ���^V 7 .0
RECEIVED
Building Permit Application " JUL 2 21-2015
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: To Select from dropbox, click here
PR.O:POSED=INP:ROVENIENTsLOCATkON::
Address: 23 Villa Blanca Spanish Lakes Country Club Village
Legal Description:
Property Tax ID#: 1301 .. 1 1 1 0()n 1 o n n J s Lot No.
Site Plan Name:. Spanish Lakes Country Club Village Black No.
-Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILI=D;1 PCR'IPTION�OF 1NOR',K Install a_ccordion:,;shut ters: .to:. (9J =
o_.peni ngs on home l
r
CONST3�UCTI6N;I `FORYATION }`
Additional work tob e ertormed under this permit–cFeck a t apply:
Pg
HVAC Gas Tank Gas Pi in that
'windows/Doors
—
Electric O.Plumbin.g Sprinklers o Generator E]Roof
Total Sq. Ft of Construction: S . Ft.of.First.Floor:
Cost of Construction:$ 3,5 0 0.0 0 Utilities: Sewer Septic. Building Height:
.. , � "qj � �4.,=ti'- N'
f�Ory ., wa
'Name: Name: ate-€— kit ai n
Address:2.3-Villa Blanca, Company:Master- Craft Aluminum_ Prod.
City: Fort Pierce State:. FL Address:1634" SE Niemeyer Cir.
ZipGode: 34951 Fax: City: .: PSL State FI '
Phone'No_ 86n–R71._n62Q Zip Code:' 'i'4As? Fax 13ri0860
E-Mail: Phone Na..335-1177
Fill in fee simple Title Holder on next page,(if different, E-Mail:m s� te=af f-a? um i n , gma .1_.cow
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.
I PPL I ENTAL�O:NSTRUCTIt�N LIENIAS INf�RMATION
:DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
'City:, State: City: State:
:Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: .. 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-app roved plans,the Fiorida Building Codes and St. Lucie County Amendments.
The following:building permit applications are.exempt from undergoing a full concurrency review:room additions,
accessary 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 thefirst:inspection. if you intend to obtain financing, consult with lender or an attorney before
commericing work or recording our Notice of Commencement.
)A Isk
Signatu a er/Ag t/Lessee Signatu,e f ont a oflicense Holder
STATE O F ORlDA STATE OF FL IR! A
{ CO.UNTY'OF St. Lucie COUNTY OF St.. Lucie
The forgoing instrument was acknowledged before me The forgoing instrumentas.acknowledged before me
this_13_day of July 20EK]by this 13 'day of July 20�by
Jeff Jackman Teff J-Arkman
(Name of-person acknowledging'), {Name of person acknowledging.)
, nature of Nota Public-Sta f;Flar {Signature of;Nota • Public-`State.of.Fiorida'
'(Si g N. YL.D..MOORE _ ry . -).
y � 3Rf1✓ — Persoriall MITIRC
.�'10
RCd Identification
N AR
Personal) `Known x uc i
Type�ofldentification Produ .e Type of t; a STATE
f_ m FLORIDA
Commission No. y diSi 9/15/2®1l3. Commis ,�Casnm#'EE156461 {seal}
CE
ip Expires- 2016
Revised 07/15/2014 ..
;REVIEWS ,FRONT .ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CO.U.NT.ER "REVIEW -REVIEW. '. REVIEW REUIEW REVIEW REVJEIN
DATE
;;RECEIVED
DATE
COMPLETED