HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L�
Date: 111'} Iog'o Permit Number: add — d 113
Building Permit Applicati n RECEIVE®
Planning and Development Services
Building and Code Regulation Division JAN % 1 2020
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial �r�€iI Permitting
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: Normand and Phyllis Fortier
Legal Description: Spanish Lakes Country Club Village Leasehold Estates(OR 2389-639)That Part Of SEC As Shown
In OR 2389-639 Being Lot 19 Vera Cruz(0.17 AC-7405 SF)(Or 3709-2289) 1 cjyP„rz. Cry, -z—
Property Tax ID#: 1301-500-1119-000-6 Lot No. 19
Site Plan Name: Spanish Lakes Country Club Village Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION bF WORI(: a'
Installing seven windows in six openings on the home. The windows will be non-impact with existing
accordion shutters on the home.
CONSTRUCTION'I'N;FORMATIO`N: p
Additional work to be nertormed under this permit—check all tbsil appy:
0HVAC Gas Tank 0Gas Piping _Shutters Q Windows/Doors
0 Electric Plumbing Sprinklers Generator ID_Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4600.00 Utilities:Sewer F]Septic Building Height:
OWNER/LESS ,E: . CONTRACTOR:
. .
Name Normand Fortier �G'I Vty, ^ CrWa Name: Jeff Jackman
Address:265 Edward J Roy Dr Unit 106 Company: Master Craft Aluminum Products
City: Manchester State:NH Address: 1634 SE Niemeyer Cir
Zip Code: 03104 Fax: City: Port St Lucie State:FI
Phone No.603-494-8858 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.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW IN:FORMAT:ION:
DESIGN ER/EN�_ . .
GINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name—N---w-Aer- Name:Jeff deeltmm—
Add ress:Ne—+m -PhyHi�eh Address:
City: M - State: City: P-"4- e-, 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 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 er/Les ee/Contractor as Agent for Owner =VLIORIDA
tractor icense Holder
ST CO E OF L ;/bA � � COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this13ay of Uk-\-n:%4 ,20SO by this 1311hday of J� `Y 20 20 by
Name of persf."'making statement Name of perso aking statement
Personally Known OR Produced Identification Personally Known rr// OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida ) (Signature of Notary ublic-State of Florida)
Commission No. (IJOTAR`(PUBLIC Commission No. N D Moore
O�PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
FF942382 Comm#FF942382
iT
E res 1/15/2020 Expi 1/15/2020REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17