HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/25/16 Permit Number:
t� .-... NEI *:
`� Building Permit Application
Planning and Development Services APR-26 d:.
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
PROPPOSED fNPROVEMENT LOCATION, ,
Address: 601 Alexandria Cir, Ft Pierce, FI 34982
Legal Description: Palm Grove S/D BLK F Lot 1 (0.12AC)(OR 3803-1412)
Property Tax ID#: 3410-503-0170-000-4 Lot No. 1
Site Plan Name: Palm Grove Block No. f
Project Na I e:
Setbacks I Front Back: Right Side: Left Side:
DETAILEb D.ESCRIPTION,OF WORK '4
Installing 1I1 accordion shutters on the home.
I
CONSTRIUCTION INFORMATION
Additional work to be nertormed under this permit–check all that appy:
Fql
EIHVAIC Gas Tank Gas Piping Shutters Windows/Doors
Electric 0 n—Generator
Plumbing Sprinklers Roof
Total Sq. FI of Construction: S . Ft. of First Floor:
Cost of Construction:$ 5500.00 UtilitiesInSewer Septic Building Height:
OU_ UNERAESSEE CONTRACTOR
�-
Donald Ca oldo Jeff Jackman
�.,.
Name P Name.
Address:6061 Alexandria Cir Company: Master Craft Aluminum Products
City: Ft Pierce State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: Port St Lucie State:FI
Phone No.772-448-4776 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee i imple 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.
i
SOPPLEMENTALCONSTRUCTION LIEN LAW INF,ORMATIOIV ~
g -
1
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: I Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I
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 Conty 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. PIIease 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 followi9jg building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory stiructures,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 w rk or recording our Notice of Commencement.
Signa re f n r/Agent/Lessee Sign ur f nt actor/License Holder
COUNTY TA OFORIDA S� Lac;-t
COUNTY OFORIDA S i
The foroing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of r, 20 fU by this day of tq'la,r�� 20,F by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publi -State of Florida) (Signature of Notary P blic-State of Florida)
Personally�Cnown _OR Produced Id tifi a6i � Personal C( Mcluced Identification
Type of Identification Produced ARY��� Type o c $TATE O Caq
Commission No. MXS'T�7FLORIDA Commis CaFF942382 (Seal)
• Expires 1/15/2020 rgs 1/15/2020
Revised 07/15/2014
1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED;
DATE
COMPLETED
I
i