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ALL APPLICABLE: NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q r ,,
Date: �XPermit Number: 1 VJ
k t- -S—r, "'OR RECEIW116 �
Building Permit Application JUN 2 4 2019
Planning and Development Services ST. Lucie County, Permitting
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: Other
PROPOSED IIVIPROVEME,NT LOCATIC►N
Address: 121 Calle de Lagos
Legal Description: SLCCV Leasehold Estates Being Lot 121 Calle de Lagos
Property Tax ID#: 1301-500-0171-000/1 Lot No.121
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1NORK
Screen room infill under existing truss roof on existing concrete.
Add electric. `
C�ONSTRUC TI.ON IN:FORMATI,ON
Additional work to aer orme p �
__.
under this permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
21 Electric ElPlumbing Sprinklers Generator Roof F Roof pitch
Total Sq. Ft of Construction: 200 S . Ft.of First Floor:
Cost of Construction:$ 2,000.00 Utilities: Sewer Septic Building Height:
fl1NNERJ�.E' EE o CONTRACTOR
Name Steve Rannacher Name: Jeff Jackman
Address:121 Calle de Lagos Company: Master Craft Aluminum Products
City: Fort Pierce State:FL Address: 1634 SE Niemeyer Circle
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No.603-306-7406 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.
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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:
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 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.
Signatur fAF
LUsseeContractor.as Agent for Owner Sig ur f Cc r ctor/L' ense Holder
ST E�OF A S RIDA
COU COUNTY OF SL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_$_day of May _20_j_g by this 28 day of May 20 19by
Jeff Jackman Jeff Jackman
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known_ X OR-Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary blic-State of Florida ) (Signature of Notary Public-% AC6, )
Commission No. S I 'M Commission No. NOTARYPUBUC
ANNOTA�Y PUBLIC E OF FL01�
STATE OF FLORIDA Carta#FF942352
F942382 ices 111512020
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REVIEWS FRONT IN SU111512
PERV020 ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17