HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: '/ U/�y! t/n
o
RECEIVED
Building Permit Application
APR 2 6 2016
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 Ahuttersn
PROPOSED IMPROVEMENT LOCATION:
Address 14124-,':Aguila Fort Pierce FL 34951
Legal Description: Spanish Lakes Fairways`Blk. 62 Lot 69
PropertiTax ID#: 1306-500-0325-oo_n/1 Lot No.
Site Plan Name: Spanish Lakes Fairways Block No.
Project i Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK-
Install '(3 ) accordion shutters (2)
on front of .home (1) on the rear
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit-check a appy:
HVAC ID Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sc. Ft.of First Floor:
- --= --- - - - — --..--- -- --
Cost of Construction:$ 1, 5()o ( ) Utilities: —Sewer _Septic Building Height:
Name Jan irc- T.nnG Name: Jeff Jackman
Address:i 14124 Aguila Company:Master Craft Aluminum Prod.
City: i Fort Pierce State: FL Address:16.34 SE Niemeyer Ci rnl e
Zip Code:34951 Fax: City: Port St. Lucie State: FL
Phone No. 772-834-9087 Zip Code: 34952 Fax335-0860 =
E-Mail: I Phone No._335-1177
Fill in fee simple Title Holder on next page(if different E-Mail:tnastercraf ta 1 umi num@gma i 1 _c-om
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.
y SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _/Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _ZNot Applicable
Name: I Name:
Address: Address:
City: I City:
Zip: Phone: Zip: Phone:
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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
structurd. 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
commenan work or recording our Notice of Commencement.
s
_Sign tur 0 ne Lessee/Agent Signa t r o tractor/License Holder
STAT F Oa STAT F RIDA
COUNTY OF St. Lucie COUNT F St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-2day of Ater i-1 20 ]Eby this 22_day of Apr i 1 20 16 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(SignatuIre of Notary Public-State of Florida) (Signature of�Not�blic-State of Florida)
rTcommission
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ersTypof Ily Knouun=" - C tifisatiofl P�rsonall.-Know --- O.t Ql�cersonal y Antificataon
dentific c QTARY Type of[dentific MOTARYPUai iST STATE OF FLORIDA
No. Cwffg FFAoni) Commission No. C *FF942*al)
Expires 1115/2020 Exores 1/15/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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