HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A
� � A RECEIVED
- -=� Building Permit Application y 9
Planning and Development Services DEC 9 7 ZoES
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
PROPOSED`INIPROVEmI NT.LQCATION
Address: 5500 Myrtle Dr, Ft Pierce, FI 34982
Legal Description. Indian River Estates-Unit-08-BLK 55 Lot 8(Map 34/11 N)(OR 3803-1177)
Property Tax ID#: 3402-609-0106-000-5 Lot No.8
Site Plan Name: Riley Block No. 55
Project Name: Riley
Setbacks Front Back: Right Side: Left Side:
D'ETA'ILED DESCRIPTI GN,OF,WORK
Installing three accordion shutters on the back of the home to enclose the lanai area.
CONSTRUCTION INFORMATION
Additional work toe a orme under this permit—check a appy:
❑HVAC E]Gas Tank Piping Gas g Shutters ❑_ Windows/Doors
❑ P
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ �„ 5V V ?-,,� Utilities: _Sewer Septic Building Height:
OWNER/LESSEE =CONTRACl'OR:
Name Chris Riley Name: Jeff Jackman
Address:5500 Myrtle Dr Company: Master Craft Aluminum Products
City: Ft Pierce, State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port st Lucie State-FI
Phone No.859-240-8620 Zip Code: 34952 Fax: 772-335-1177
E-Mail: Phone No. 772-335-1177, 772-370-1382
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 CONSTRUCTION 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:
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.
�A XL_ - A
s
S' nat e f Ow er/Lessee/Agent Signa re �FLIOJ=A r/License Holder
STA FLORIDA STATE
COUNTY OF stJude COUNTY OF stluce
The forgoing instrument was acknowledged,before me The forgoing instrument was acknowledged before me
this tL day of �, 20 A—by this L day of Df4 . 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of NotaryPublic-State of Florida)
Personally Known OR Produced Identification Personally Known )6 OR Produced Identification
Type of Identification Produced ERYL D.MOORE Type of Identification Produced
NOTARY PUBLIC q Y HERYL D.MOO
RE
Commission No. OAik OF FLORIDA Commission No. NOTARY(g$µJC
Comm#EE15CA61 -STATE OF FLORIDA
e o Comm#EE156461
Expires li!5/28116
Expires 1/15/2016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS