HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. �J�
Date:
Hermit Number f fD 4o4 ,
RECEIVED
._._. ....'.-.-. . • AUG 201 . .::.
Building Permit Application
Planning and Development Services .
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-3553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR. To Select from dropbox, click here
Shutter/impact window
P.'ROPOSED INP.ROVEMENT LOCATION:.
'
Address: 431 P,.auroti s _Lana Fort Pierce
Legal description: Palm Grove S/D Block J Lot 12
Property Tax ID#: 3410-503-0264-000/0 Lot No.
Site Plan Name: Pa 103 !Groye Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION Install. accordion,`shtrtters a.o
T four openings (see attached diagram)
Tnsta11 one impact window (see attached.)
CONSTRUCTiO.'N JNFORdViATiONw.,
lona wor o (ems•e( forme under this permit-cneCK all that appy:
HVAC Lam!Gas Tank []Cas Piping X Shutters Windows/doors T
Electric F�Plumbing r1prinklers Generator Roof ,
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ '2,050.00 Utilities:Sewer Septic Bullding Height:
momt., .p..
--- -Name—iCar6 Slater � -- Name: Jeff Jackman
Address: 431 Pauiotis Lane Company:Master Craft Aluminum Product
City: Fnrf P, prnP State: FL Address: 1634 SE Niemeyer Cir,-
ZipCode:3AgRZ Fax: City: Port St. Lucie State: FL'
Phone No. ?72_466-ti43.h 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@gmai l.com
from the Owner listed above) State or County License: SCC13 115 0 5 8 6
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�1)pP:LEMENTX�L-CON8TR I:CT1 3N�LI.EN,LAW'INFORIV ATIflN
DESIGNER/ENGINEER: =Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: ' Zip: Phone:
s
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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 1 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 le er or an attorney before
commencing work or recording our Notice of Commencement.
SignatuMofAge Lessee Sig " tore f ntrct censeHoldSTATE STA Rt ACOUNucie COUNTl�O
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this24 dayof August 20f by this 24 dayofAuaust 20EWby
Jeff Jackman ATe f -!a-kman
.(Name of person acknowledging) (Name of person acknowledging)
(Signature o€Notary blic-State ofTlorida) (Signature of Notary Public-State of Florida)
_.._ Sl D.Mows
Personaily;Known X ' OR•Proi:l #de ftmoi a Personally Known x •OR dR p iVL*LW__
Type of Identification Produced YPt1BUC Type of Identification Produce
STATE
OF FLORIDA
FF942362
Commission No. FF942382 Commission'No. .; 1/15/2020 .
E)Oies 1115/2020
Revised 07/15/2424
REVIEWS .FRONT ZONING SUPERVISOR PLANS VEGETATION 'SEA TURTLE MANGROVE
COUNTER REVIEW -REVIEW REVIEW REVIEWREVIEW `REVIEW
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