HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0-30U/ I)d-
Date: ( - 17 � y- Permit Number: /5
RECEIV +
� a r
Building Permit Application
DEC
Planning and Development Services
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
PROPOSED INP,ROVEMENT LOCATION,
Address: 7 Villa Blanca, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part of SEC as shown in Or 2389-629 being Lot 7 Villa Blanca(0.12 AC 5,227SF)(OR 3749-876)
Property Tax ID#: 1301-500-1176-000-3 Lot No.7
Site Plan Name: Hoff Block No.
Project Name: Hoff
Setbacks Front Back: Right Side: Left Side:
DETAILED`D6C
CRIPTION'OF WORK ;
Installing accordion shutters on 10 openings of the home.
CONSTRUCTION INFORMATION
. J , ..
Additional work toe e orme under t -checkispermit a t appy:
HVAC Ei Gas Tank F_]Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 5400.00 Utilities:Sewer Septic Building Height:
OV1/KER/LES8EE CONTRACTOR.:
Name Ed&Patricia Hoff Name: Jeff Jackman
Address:7 Villa Blanca 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.631-769-6179 Zip Code: 34952 Fax: 772-335-1177
E-Mail: Phone No. 772-3335-1177
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 GONSTRU,CTION LIEN LAW, INFORMATION
DESIGNER/ENGINEER: X Not Applicable y 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.
Si a 0 ner/Agent/Lessee Sig at elf on ractor/License Holder
S re F F ORIDA S F FLORIDA, I�Au�
COUNTY OF Vit.Lu'u `C' COUNTY OF -V'
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of (�nc�w►taw 20by this_LT day of (Y"&NbeC 20 W by
W,"e" DP �-P I—
C*_ aLPil o
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known �4 uc��q�A�cA&gRE Personally Known >0 Q odug4Wpp ation
Type of Identification Pro NOTARY PUBLIC Type of Identification Pro �' MOORE- —
Pro*
A :OF FLORIDA t7BCTU
Commission No. 00 ff156461 Commission No.
STATE �LORIDA
aspires 1/15/2016 Cnmmlffe156461
0"Pires 1/15/2016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED