HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/24/16 Permit Number: V
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Building Permit Application AUG 5 2016
Planning and Development Services PERt411TfING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVE MENT LOCATION
Address: 9301 Treasure Coast St, Ft Pierce
Legal Description.. Palm Breezes Club (PB 49-32) BLK 9 Lot 8(OR 3811-1573)
Property Tax ID#: 2310-500-0164-000-0 Lot No.8
Site Plan-Name: Palm Breezes Club Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION SOF WORK
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CONSTRUCTION INFORMATIONc
Additionalworw ,. .
to be a orme p under t is ermrt—c ec all thzt appy:
❑HVAC Gas Tank ❑Gas in _Shutters Windows/Doors Piping ❑
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 9/)L� Utilities:Sewer OSeptic Building Height:
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OWNIt ILESSEE CONTRACTOR
Name William&Barbara Morehouse Name: Jeff Jackman.
Address: 1323 Bayshore Dr#201 Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34949 Fax: City: Port ST Lucie State:FI
Phone No.772595-0434 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple 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.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFORIVIATION
DESIGNER/ENGINEER: _Not Applicable
pp le MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 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. 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
Signatur ne L ssee/Contractor as Agent for Owner Sign atur ntr ctor/License Holder
STA O RI STATE F O IDA
COUNTY S«UC1e COUNTY F S«uce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 it by this day of 20 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public- ate of Florida) (Signature of Notary P blic-State of FLoricla�.Moon
Personally Known )Q OWEXPIMS
�ti"" Personally Known i i
Type of Identification ProducOTARYPU Type of Identification Pro IM
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Commission No. O* Commission No. ('Q@J41512020
1115/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS