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HomeMy WebLinkAboutBellegarde 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 ✓ PERMIT APPLICATION FOR: Aluminum without concrete PFtO ED IPR1lEME y N �..... Address: 1 Villa Maria, 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 1 Villa Maria(0.12 AC - 5227 SF)(Or 4431-62) Property Tax ID #: 1301-500-1210-000-4 Site Plan Name: Project Name: _ Setbacks Front Back: Right Side: Left Side: Installing an infill screen room on the back of the home under the existing truss roof. HVAC ❑ Electric "Shutters 0 Plumbing Sprinklers E Generator 1:1 Roof Roof pitch Lot No. Block No. 0 Windows/Doors Total Sq. Ft of Construction: _ Cost of Construction: $ 1700.00 Name Thomas & Deborah Bellegarde Address: 1 Villa Maria SFt. of First Floor: _ Utilities:Sewer Septic City: Ft Pierce State: _ Zip Code: 34951 Fax: Phone No. 978-677-4474 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Name: Jeff Jackman Comnanv: Master Craft Aluminum Products Address: 1634 SE Niemeyer Cir City: Port St Luice 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. DESIGNER/ENGINEER: Not Applicable Name.,Thoma Add res . 1 City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Addre Byer i City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name:-�� Address: -q- City: P4LWWWP 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 :ommencing worK or recoraing vour Nonce OT Commencement. Signatur w e L see/Contractor as Agent for Owner 5STATE OFF ORIDA COUNTY OF I •AJ' ;,-e_ The forgoing instrument was acknowledged before me this ),day of (X h )aK 202d by 14P IaXma,�, Name of person making statement Personally Known l/ OR Produced Identification Type of Identification Produced Mtn.--- (Signature ni(Signature of Notary Pu lic- Stat of,�Fl$rOa ) s oore Commission No. NOTARY ")SICATE OF FLORIDA %2W Comm# GG945237 Sig r of 60n or/License Holder STATE OF FLORIDA COUNTY OF S3', Luc The forgoing instrument was acknowledged before me this ay of ©C'---v)a� 20 Zo by Name of person r aking statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) y Sheryl D. Moore Commissioriv OTARY PUBLIC (Seal) 0a.+STATE OF FLORIDA Comm# GG945237 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17