HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1�d a�3�
RECEI`.'-D APR 0 7 2016
Building Permit Application
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 arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: _
Address: 22 La Puprta del Norte Fort Pierce
Legal Description: . East Jy of Section 1 Township 34S Range 39 E less North
106cl 59 ' 1 )zing North 9 Wast of Tiirnnike Feeder Road
Property Tax ID#: 1301-111-0001-000/5 Lot No.
Site Plan Name: Block No.
Project Name: Spanish Lakes Country Club Village
Setbacks Front Back: Right Side:. Left Side:
DETAILED.DESCRIPTION OF WORK:
Install accordion shutters to eight openings (seven windows and
one sliding glass door) .
CONSTRUCTION:I.N FORMATION
Additional.work to be performed under t ispermit—check a ttt appy:
EIHVAC Gas Tank ❑Gas Piping I x I Shutters Windows/Doors
Electric ❑ PlumbingSprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$_ 2, 2 0 0 .0 0 Utilities: F Sewer❑Septic Building Height:
OWNER/LESSEE CTOR
,;r CONTRA
Name Christine Sullivan Name: Jeff Jackman
Address: 22 La Puerta del Norte Company:Master Craft Aluminum Producti .
City: Fort Pierce State: FL Address:1634 SE Niemeyer Cir.
Zip Code:34951 Fax: City: Port St. Lucie State FL
Phone No. 510-861 -5071 Zip Code:. -14952 Fax: i'35—nA6n
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page (if different E-Mail: mast- r .raf. al umi n um(dgmai 1_ .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.
1 1. -� •} - '
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
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 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 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.
s
_Signatu e cin r essee/Agent Sign tur U- IDA
c or License o er
1
STATE OF P O IDA STA F
COUNTY OF St. Lucie COUNTY F St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5 day of Apri 1 20 Eby this 5 day of Anri 1 20 1-by
z
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotaryPublic-State of Florida) (Signature of Notary Pu ic-State of Florida)
D:Macre
Personally Known X ORP "0hp�bpf ltUC Personally Known X OR Ic�fi� ipo8uc
Type of Identification Produce Type of Identification Produce
Cortrf�FF842382
ATS OF:FLORI
Commission No. �{Se� Commission No. F'F9423f32
1/15!2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE JI
INITIALS