HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Vrz d u 1 1(0
® RECEIVr: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 Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 6659 Pic-ant-g- Circle Fort Pierce FL 34251
Legal Description: Spanish Lakes Fairwayg Block 55 Lot 13
PropertyTaxlD#: 1306-500-0290-000/6 Lot No.
Site Plan Name: Spanish T,akPG Fa i rwayG Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: Install three accordions on rear lanai
and one accordion covering the garage.
CONSTRUCTION INFORMATION:
Additionalworkto a er orme un er t is permit—c ec a appy:
HVAC 11 Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4 ,900 - 00 Utilities: _Sewer O Septic Building Height:
--- - --- -OWNER/LESSEE. . CONTRACTOR: — - — --
Name Ronald & Linda Beverly Name: Jeff Jackman
Address: 6659 Picante Circle Company: Master Craft Aluminum Prod.
City: Fart Pi ercP State: PT, Address: 1634 SE Niemeyer Circle .
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No. 772-359-8170 Zip Code:34952 Fax:335-0860
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraf taluminum(Agmail.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 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
_Sig at f ner/Lessee/Agent Sig a r a ontractor/License Holder
STATE FLORIDA STAT OF FLORIDA
COUNTY OF St. Lucie COUNTYOF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this IL_day of pa�.czr 2016 by this 11 day of March 20 16 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
LA
(Signature of Notary Pulac-c-State of Florida) (Signature of Notary ublic-State of Florida)
--. -
-Personally-Known- _- •Mooro_--. D,.Moab
x--OR P- ICr2RT Personally Known--x --OR-P WK
Type of Identification Produce SOT EGfF-_�i% Type of Identification Produce
Commission NoFI�� Commission No. ' ( FP94xi82
. � b 111617020 1�15A20
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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