HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: v�' ��� Permit Number:
Building Permit Application DEC 7 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 Infill
'PROPOSED,INP.ROVEM:ENT LOCATION: " . =
Address: 34 r agnG r1P1 Nnrfp En-rt Pi ecce Fi, 34951
Legal Description:_ Spanish Lakes Country . Club Village Leasehold estates
OR2389-639
Property Tax ID#:. 1301-500-0695—foo ./n Lot No.
Site Plan Name:_ Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D;ESCR.IPTION.OF 1NORK:=
A-dd oon walls under emisting truss—region- --
existing concrete. Install front entry.
CONSTRUCTION INFORMATION --
Additional work toe e orme under this permit—c ec a appy: --
0HVAC E]Gas Tank ❑Gas Piping -t Shutters ❑Windows/Doors
11 Electric ❑.Plumbing Sprinklers !!Generator `! Roof
Total Sq. Ft of Construction: 1 (lx70 ' S Ft.of First Floor: _
Cost of Construction:$ 2 0:2 0 0 _0 0 Utilities:Sewer Septic Building Height:_
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Name Charles & Marr F1 Pm;nq _ Name: Jpff Jackman
Address: 34 Lagos del Norte Company:Master Craft .Aluminum Prod.
City: Fort Pierce State: FL Address: 1634 SE Niemeyer Cir.
Zip Code: 34951 Fax: City: Pert- St Tolf-i e State.-FT.
Phone No. 802-688-6131 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-Mailanastercraf t ami num(agma i 1 _r-nm
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.
FLEI�iENTAL�CONSTRUCTJON LIEN LAW INFflRM�4Ti0 . ...'
:. . .
.DESIGNER/ENGINEER: 3I_ 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 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 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 oto 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 Dur Notice of Commencement.
Si atu e 01JR
Agent/Lessee Signat e o tra or icense Holder
S T A STAT F RID
3 COIN OF St. Lucie COUN. OF St. Lucie
The forgoing instrument was acknowledged before me Theing instrument was acknowledged before me
this Iq day of A Ute" 20Eflay this V forgooday of Af 20_U by
Jeff ,hackman Jpff Tarkman
.(Name of person acknowledging) (Name of person acknowledging)
'(Signature of Notary P lic-State of Florida.) -.(Signature of Notary Public-State.ofFlorida)
q SHERYL D.MOORE -- `
Rersonally'Known X tRTlWKtRWftJ 'n Personally•Known x ORP MMA MOORE
Type of:Identification Pr. .....—STATE OF FLORIDA Type.of ldentification Produce NOTARY PUBLIC
Comm#EE156461 o STATE OF FLORIDA
Commission No. shyef 9►� EXPi. J15I2016 Commission'No. g•xal�#EE156461
E Expires 1195/2016
RmOsed 07/15/2014
REVIEWS FRONT .ZONING SUPERVISOR PLANS VEGETATION' 'SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW. REVIEW REVIEW .REVIEW REVIEW
-DATE
:RECEIVED
DATE
COMPLETED