HomeMy WebLinkAboutLaFlamme Permit APpALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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 x
PERMIT APPLICATION FOR: Aluminum without concrete
.ROE N LC3,CAT \ c \ \
Address: 42 Sierra del Norte, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates (OR 2389-639) That Part of SECs As
Shown In Or 2389-639 Being Lot 42 Sierra Del Norte (0.11 AC -4792 SF)(OR 4428-2600)
Property Tax ID #: 1301-500-1081-000-0
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
Install a screen infill under the existing truss roof.
Lot No.
Block No.
Haaitionai worK to De errormea unaer tnis permit — cnecK aiiappry:
HVAC _ Gas Tank FGas Piping Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator E]Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1800.00 Utilities:Sewer 0Septic Building Height:
Name Richard LaFlamme
Address: 42 Sierra del Norte
City: Ft Pierce State:
Zip Code: 34951 Fax:
Phone No. 978-935-8417
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jeff Jackman
Company: Master Craft Aluminum Products
Address: 1634 SE Niemeyer Cir
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 772-335-0860
Phone No. 772-335-1177
E -Mail: mastercraftaluminum@gmail.com
State or County License: SCC131150586
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 your Notice of Commencement.
Signa re wr essee/Con r c Agent for Owner
Sign u on actor/License Holder
gw
STATE FLORIDA
COUNTY OF S4
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 80--�day of (I hw, , 202a by
this _P�_ day of /vim— 20 U by
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- je��--
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: �
Type of Identification
Produced
Name:
(Signature of Notary Public- State of Florida )
Addres .
Sheryl D. Moore
Address: a�—
City: Po[t Sil -i
Commission N NOTARY PUBLIC (Seal)
State:
City -" State:
Zip:
Phone
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
E
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Name:
PLANS
VEGETATION
Address.
Plieweyep Qr
Address:
REVIEW
REVIEW
City:
REVIEW
REVIEW
City:
DATE
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 your Notice of Commencement.
Signa re wr essee/Con r c Agent for Owner
Sign u on actor/License Holder
STATE F A
COUNTY O S fi � LAAt
STATE FLORIDA
COUNTY OF S4
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 80--�day of (I hw, , 202a by
this _P�_ day of /vim— 20 U by
75e1�
- je��--
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida)
Sheryl D. Moore
Commission No. Shy D. modoeal)
Commission N NOTARY PUBLIC (Seal)
PUBLIC
STATE OF FLORIDA
ANOTARY
STATE OF FLORIDA
i"315
;MAComm# G945237
1
Expires
1/15/2024
REVIEWS
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4SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17