HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:pf
RECEIVED
4
Building Permit Application
JUL 2 2 2015
Planning and Development Services
Building and CodeRegulationDivision
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 -I-
PROPOSED'I N P;R.OVE.M ENT:'LOCATIO:N:
Address: 48 Mediterranean North PSL
Legal Description: Lot 48 Mediterranean North Spanish Lakes #1 092389 Pg.720-72
Property Tax ID#: 3414-501-1701-00019 Lot No. 48
Site Plan Name: Spanish Lakes #1 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
gETAILED.:DESCRIPTIO;N OF WORK.:
Install accordion shutters to home { 8 ) pagrain_
CONSTRUCTION;INFORMATION
_ ,
Additional work to De
erformed under this permit—check a I apply:
1 1HVAC L_1 Gas Tank Gas Piping x Shutters .'Windows/Doors
Electric .Plumbing []Sprinklers Generator -Roof
Total Sq. Ft of Construction. S .NewerCl
f First Floor:
Cost of Construction::$ 3,200-.00 Utilities.., Septic Building,Height:
F ztna'..ru *'F t� t7v F ( MAI iu 'Td;^n'* ,�v ey ^8 qua).
�x # eek >� . . r„`
r '`"I _ ? y a l7 ! q s .k. �rpy ” j RwD' SYf K �
. .. i ,s i s nom, 7 . W. .. .I . @.LtG�««... _
'Name - Paul & April Martin-- Name:.` Jeff .Jackman
Address: 48 Mediterranean North Company: Master Craft Aluminum Prod.
City: Port St.- Lucie State:FL Address: 1634- SE Niemeyer Cir.
Zip-Code:34952 Fax: City:. Port "St. Lucie State: FL
Phone No. 313-363-9646 Zip Code: 34952 Fax: ' 335-0860
'E-Mal: Phone No_ 335-1177
Fill in fee simple Title Halder on:next page,(if different E-Mail: ma c;ternra f to l umi n im(agmail_com
from-the Owner.listed above) State or-Codnty License: SCC131150586
9f value of construction is$2500 or more,a RECORDED Notice of Commencement is.required.
3RPLElUiENTAAL CONSTI - CT,,],O 1 LI.E ,.,LAW,';INF-ORMATlON:
.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 Count 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 grantingof 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 Com" mencement 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
comme.ncing work or recording our Notice of Commencement.
Signatu w er essee Signatur o , tr ct r/License Halder
ST TE F STATE ORI
CO St'. -Lucie COUNTY.OF St- Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was:acknowledged before me
this 13 day of July ,20E]by this 13da,y of July WEE by
Jeff Jackman Teff �Tackman
{Name-of person acknowledging) (Name of person acknowledging.)
SHERYL D.MOORI.
NOTARY PUBLIC
} STAFF OF FLORID �iJ/ HERYL D.MOORE
(Signature of-Notary`Public-:State t�wihio EE156461 (Signature of Notary Pubiio-S
• .. r
ATE OF FLORIDA
t ��sires 1� '. 56461
R rsonally�Xnown X ' -OR P.roduced'identification PersonallV Known x .Q.R RfftfiL#§gA
Type of.ldentificatian Rroduced Type of Identification Produced NCE 16 Expires 1/15 20.
Commission No, {Seal) ...'Commission'No. .(Sea[)
`Rev3sed`07.115/201.4 t
REVIEWS FRONT ZONING SUPERVISOR ;. ':P.LANS VEGETATION SEA TURTLE M4NGROVE
CO.UNTER REVIEW " REVIEW, -REVIEW - REVIEW REVIEW REV1EVl1
' 'DATE
;RECEIVED
[DATE .
COMPLETED