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HomeMy WebLinkAboutCleary Infill 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 PERMIT APPLICATION FOR: Aluminum without concrete Address: 24 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 I or 2389-639 Being Lot 24 Lagos del Norte(0.14 AC - 6098 SF)(Or 4371-741) Property Tax ID #.. 1302-500-0685-000-7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Installing an infill screen room on the back and front of the home under the existing truss roof. Haaitionai worK to pe nej rtormea unser tnis permit — cnecK an apply: HVAC L _J Gas Tank E]Gas Piping In Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 2400.00 Utilities:Sewer USeptic Building Height: Name Micheal Rhines & Katharine Cleary Address: 24 Lagos del Norte City: Ft Pierce State: Zip Code: 34951 Fax: Phone No. 978-618-3187 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 Luice State: Fl 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. GNER/ENGINEER: _ Not Applicable Name. Address. City: �- State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address, 1emey it City: Zip: Phone: MORTGAGE COMPANY: — Not Applicable Name: je#-j�. Address. City: P -""-V-- State: _ Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 :ommencinR worK or recoraing your Ivotice OT t.ommencement. Signat a of er/ ssee/Contractor as Agent for Owner ST E OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _LS'R'liay of or-4T)w , 20?A by SaeY Name of person making statement Personally Known �Z OR Produced Identification Type of Identification Produced Q�k-�t6 -V1Vn-A-- (Signature of Notary Public- State h�.rMoo�e Commission No. NOTARY�C a ATE O FL RIDA Comm# GG945237 Sign ure f n ractor/License Holder STATE OF FLORIDA COUNTY OF S4� U.4t:-'e, The forgoing instrument was acknowledged before me this _W,� day of ©c IyiyU•r 207A by Name of person making statement Personally Known Lel- OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) Sheryl D. Moore (Seal) NOTTARYPUBLIC STATE OF FLORIDA Comm# GG945237 "FUE Iy'- Expir s 1/15/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17