HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/24/16 Permit Number: �� 005--
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Building Permit Application
Planning and Development Services
AUG 2 5 *.
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: Shutter
PROPOSED PR
Address:
L'OCATI`ON
Address: 31 Arboles del Norte, Ft Pierce
Legal Desci iption: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part of SEC as Shown
in or 2389;639 Being Lot 31 Arboles del Norte St. (0.12 AC-5075 SF)(OR 3376-2196)
Property Tax ID#: 1301-500-0026-000-0 Lot No.
Site Plan Name: Spanish Lakes Country Club Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK ,
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CONSTRUCTION INFORMATION
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Additional work to a ne orme under this permit—c ec a appy.
❑HVAC � Gas Tank ❑Gas Piping Shutters ❑Windows Doors "
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ Yo LD Utilities:Sewer[]Septic Building Height:
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OWNER/LESSEECONTRACTOR:
Name Charles and Linda Mongrain Name: Jeff Jackman
Address:31 Arboles del Norte Company: Master Craft Aluminum Products
City: Ft Pierce State:FlAddress: 1634 SE Niemeyer Cir
Zip Code:� 34951 Fax: City: Port St lucie State:FI
Phone No;.301-606-8554 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.
SUPPLEMENTALSCONSTRUCTION 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: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: ! City:
Zip: Phone: Zip: Phone:
I
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Co nt�r 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 ender or an attorney before
commencing w rk or recording our Notice of Commencement.
S
SigZTE
0 n Less actor as Agent for Owner Sign atu nt acvo r/License Holder
ST L DA STAOEOFLO ,A
COF St Lucie CO UlSt LuC1e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20/L—by this ` day of 20 A by
Jeff Jackman 1. Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu c-State FlorithW D.Moore (Signature of Notaryublic-State of Florida)
PersonallyKnown 0 e NOTARY vA.0p Personally Known o &rlA D.Moore
'�� 1.0131DA- Y .���gltad42ion
Type of Identification Producan" Type of IdentificationFLORIDA
Commission No. FF942382
( t8s 1h5/2020 Commission No. W'EXPIre3(JM)2020
Revisedl07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS