HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•. la I__
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: 70 North Mediterranean Blvd_ PSL
Legal Description: St. Lucie Gardens 26 36 40 That part of Blks 1 & 2 ly
LY of US #1 Being Lot 70 Mediterranean N.
Property Tax ID#: 3426-500-1016-000/4 Lot No.
Site Plan Name: Spanish Lakes Block No.
Project Name:
Setbacks , Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install six accordion shutters on home per diagram.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit–check a apply:
HVAC Gas Tank []Gas Piping [hJ
Shutters Windows/Doors
a
Electric Plumbing Sprinklers I Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3DD a Utilities: _Sewer —Septic Building Height:
. �-8d�'R�1aC
rNameCarol Meyertons Name: Jeff Jackman
Address: 70 N. Mediterranean Blvd. Company:Master Craft Aluminum Prod.
City: Port St. Lucie State: FL Address: 1634 SE Niemeyer Cir.
Zip Code: 34952 Fax: City: Port St. Lucie StateFL
Phone No.772-446-4990 Zip Code: 34952 - Fax: 335 0.660
E-Mail: Phone No. 335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraf 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: J-Not Applicable BONDING COMPANY: 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 tui o O n / ur Lessee/Agent Sign o C2IDA
actor/License Holder
STAT O I A STATE
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 31 day of May 20 Eby this 41 day of Ma) 2016 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
_ ed lde-ntafic-atiof4— :- Rersonall.- nowdnredJdentlf cattorT_ ---- —.--
Type of I Type oFUNKA
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Commisso Corral M (Seal) Com ?'STATE OF FLORIDA (Seal)
EXPIta e
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