HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 4. Permit Number: 4�4
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RECEIVED
Building Permit Application APR 2 6 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phon�: (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: Screened infill
Addres�: 39 Montoya Fort Pi r .P FT. 349SI
Legal Dlscription:East z of Section 1 Township 34S Range 39E less N. 1069.59 '
lyg N &- W of Turn-pike Feeder Road
Properti Tax ID#: 1301-111-0001-000/5 Lot No.
Site.Plai Name: (New CBS home on prey; ouG mohi 1 - home 1 ot) Block No.
Project(Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK'. Screen in existing .lanai under truss
1 11 roof. (Infill) / / x
§V
CONSTRUCTION INFORMATION:..
Additional work toffGasTank
orme under this permit—check a t apply:
HVAC ❑Gas Piping _Shutters Windows/Doors
Ellectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost ofConstruction: $ 1,5 0 0.0 0 UtilitiesTI-11
Sewer _Septic Building Height:
. ,�_ -faf ERS-�-E-SSE=E: _`�' � ; = -C��JT��►��-9 .. _
Name l W' 1 1 i am Jordan Name: Jeff Jackman
Address: 39 Montoya Company:-Master Craft Aluminum Prod
city: Fort Pierce State: FL Address: 1634 Se Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State: FL
Phone No. 460-6908 Zip Code: 34952 Fax: 335-0860
E-Mail-: Phone No.
-335-1177
Fill in fie simple Title Holder on next page(if different E-Mailmastercraf taluminum@gmai 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.
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• SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _y_ Not Applicable
Name:I 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: I 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 accordi nce 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.
V1 � S .
_Sign uir o 0 er/Lessee/Agent Stat
e f o r
STA E OF ORIDA S O FL IDA
CO TY F St. Lucie COON OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2.1 day of Apr i 1 20 1..&y this 21_ day of Agri 1 20 ]_�by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
I&O-t.,/.6. &u,� 4�4_� - -
(Signature of Kotary P blit-State of Florida) (Signature of Notary P blit-State of Florida)
Type of llIden
Knowri-- P aD I��cataon Personally--Known"-X-`- ORT-odG- d-I-entifacatiori- - -
entificatio STV AT E OF �;;A Type of Identific)6@
Commission No. Cont Commission No. OF DA
F=
1/15/2020
Revise'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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