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HomeMy WebLinkAboutBuilding Permit Application I' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l ^� Date: Permit Permit Number: y f' Building Permit Application Planning and Development Services C�G�9 p X10 Building and Code Regulation Divisionc�P006 �© 2300 Virginia Avenue,Fort Pierce FL 34982 �Go 'hPry Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Shutter PROPC)SED,IMPRC+VEI1%IENT LOCATION. Address: 34 Lagos del Norte, Ft Pierce, FI 34951 Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part of SEC As Shown In Or 2389-639 Being Lot 34 Lagos del Norte(0.12AC)(or 3354-2680) Property Tax ID#: 1301-500-0695-000-0 Lot No. Site Plan Name: Block No. Project Name:, Setbacks Front Back:, Right Side: Left Side: D WLED DESCRIPTION fir:WO,Rr< Installing nine accordion shutters on the home. CDNSTRUCTION INFORMATIDN 4 Additional work to be nertormed under this permit—check a appy: HVAC Gas Tank Gas Piping Shutters Q Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ 5650 Utilities:]Sewer Septic Building Height: OWNERJLESSEE C{JNTRACTOR; Name Charlie Fleming Name: Jeff Jackman Address:34 Lagos del Norte Company: Master Craft Aluminum Products City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir Zip Code: 34951 Fax: City: Port St Lucie State:FI Phone No.772-519-8625 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 I If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i i I SUPPLEMENTAL CdNSTRUCTlt7N LIEN LAIN INFORMA71C31U / pp MORTGAGE COMPANY: ' _Not Applicabl DESIGNER ENGINEER: Not Applicable e Name:Charlie Fleming Name:Jeff Jackman Add ress:34 Lagos del Norte,Ft Pierce,FI 34951 Address: 34 Lagos del Norte City: Ft Pierce State: City: PortSt Lucie State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:1634 SE Niemeyer Cir 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 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. i Signature w e see/Co tractor as Agent for Owner Signat o o PIDA' c Lise Holder STAE OE�� A STATE.O L COUNTY OFA �'�' �- COUNTY OF i� �' The forgoing instrume t was acknowledged before me The forgoing instrume t was acknowledged before me this) ay of - It- , .2011 by this iA day of 20n by Name of perso making statement Name of person making statement Personally Known_V OR Produced Identification Personally Known ✓ OR Produced Identification Type of IdentificaSherA D.Moom Type of Identification Produced— �� NOTARY P1 JR1 Ic Produced—AW.- Sheryl D.Moore 4' S STATEAF FLORIDAr��Itili� � NOTARY PUBLIC COMM#FF942382DSTATE OF FLORIDA 6mires 1H5/202(9 :;. a�Comm#FF942382 (Signature of Notary Public-State of Florida ) (Signatu fl otaWWORc lorida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 � I I '