HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC4BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �i�
Date:
Permit Number: /V 0 ` o4" � .Y,
RECEIVED
Building Permit Application AuG 2 5 20%
Planning and Development Services
Building aqd Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (7 72)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT AAccordion
APPLICATION FOR:
To Select from dropbox, click arrow at the end of line Shutters
PROPOSED IMPROVEMENT LOCATION: .
Address: 16483 Alemendra Street Fort Pierce
Legal Description:
I
Property Tax ID#: 1306-111-0001-00010 Lot No.
Site Plan Name: Block No.
Project Nam0panish Lakes Fairways Leasehole Estates
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install accordion shutters to home (8) per diagram.
I
I
CONSTRUCTION INFORMATION::
Additional,worktobenertormedunder tis permit—c check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Fti of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2 ,950 .00 Utilities: Sewer OSeptic Building Height:
i
OWNER/,LESSEE: _ , CONTRACTOR: .
Name Tom & MirhPl P Bilotti Name: Jeff Jackman
Address: 6483 Alemeridra St. Company: Mast-Pr Craft- Alnmin„m P—r
City: Fort Pierce State: FL Address:1634 SE Niemeyer Cir,
Zip Code: 134951 Fax: City: Port St. Lucie State:FL
Phone NO.I 468-2903 Zip Code: 34952 Fax: 335-0860 ..
E-Mail: Phone No.335-1 177
i
Fill in fee simple Title Holder on next page(if different E-Mail:mast -r raf to 1»mi n»m(agma i 1 corn _
from the Owner listed. above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
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:
I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: ! Phone: Zip: Phone:
I
I certify thalt 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 don Witt 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
1.
commencing work or recording our Notice of Commencement.
V& s
Si u of wner/Lessee/Agent SigWTF
tractor/License Holder
ST L RIDA STL IDA
CO St. Lucie CO St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisr iay of 20/�n by this�day of --20 �� by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(signature of Notary Pu lic-State of Florida) (Signature of Notary ublic-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced StHirVID.Mom
Sheryl D.Move NOTARY PUBLIC
Commission No. NOTARYPUBLIC Commission No. 4TATOOFFLORIDA
STATE OF FLORIDA Comm#FF942382 cog VE*Ms VIM=
Revised 07/15/2014
*'kce 1 % Expires 1115/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
i