HomeMy WebLinkAboutBuilding Permit Application ALLAPPLIG4BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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R E C E D 'N0V 0 8 2016
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: . shutters
Address: 39 Montoya Fort Pi Prep FT 34951
Legal Description:East51 of Section 1 Townsh•i p 34S Ranee 39E less N 1069 -59 '
lyq N` & W of Turnpike Feeder Road
PropertyTax ID#: 1 '101 —1 1 1 —8(101-000.J5 Lot No.
Site Plan Name: New CBS home on nrevi ous; mohi 1 e home 1 of Block No.
Project Name: Spanish Lakes Country Club Village
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install six accordion shutters per diagram.
CONSTRUCTION INFORMATION::
Additional work to be performed under this permit—check a appy:
❑HVAC Gas Tank Gas Piping Lx I Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1, 700 .00 Utilities: OSewer DSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name William Jordan Name: Jeff Jackman
Address:39 Montoya Company: Master Craft Aluminum rod_
City: Fort Pierce State: FL Address: 1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No.460-6908 Zip Code: 34959 Fax: 3 3 5—1 177
E-Mail: Phone No.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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 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 pr recording our Notice of Commencement.
V y
s
_Signature 0 eri L ssee/Age t SignVOF
Inct r/Li ense HolderSTATE ID STADA
COUNTY OF St. Lucie COU St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of November 20 -1-6y this 2 day of November 2016 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) (Signature of Notaryublic-State of Florida)
Personally Known X _O%W0;&4W@ntification Pet� Produced Identification
Type of Identificati eAOTARYPUBLIC TyKr i
STATE OF FLORIDA STATE OF FLORIDA
Commission No. FFOM Co (Seal)
—m#FF9423M
Sores 1!1512020 Expires 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