HomeMy WebLinkAboutBuilding Permit Application ALL 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: Shutter
PRflI'a PRfluEI TA
Address: 85 Calle de Lagos, 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 85 Calle de Lagos (0.11 AC 4792 SF)(Or 4227-1813
Property Tax ID#.. 1301-500-0140-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DXTACLI P "IflN
Installing three accordion shutters on the back lanai area.
Additional work to (ever orme under this permit—check a apply:
❑HVAC L__I Gas Tank Gas Piping Shutters Windows/Doors
_ ❑ a
11 Electric 11 Plumbing a Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3500.00 UtilitiestSewer 0Septic Building Height:
Name Ed Winklarek Name: Jeff Jackman
Address:85 Calle de Lagos 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.724-557-5971 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.
�PPMENTALtR
' ISTRICON1lIAT[CN ',� ,DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Edwinklarek Name:Jeff Jackman
Address:85 Calle de Lagos,Ft Pierce,FI 34951 Address: 85 Calle de Lagos
City: Ft Pierce State: City: Port St 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 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.
Signat 0 er/ ssee/Contractor as Agent for Owner Signat a of Co tractor/License Holder
STA F FLORIDA STATE OF FLORID
COUNTY OF S , l td�;� COUNTY OF ��.L t,C -t
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this f SL7)day of QC,414o(.r 20?.o by this_bo- day of D 'f 4n- 20?a by
Name of perso aking statement Name person king statement
Personally Known OR Produced Identification Personally Known rT OR Produced Identification
Type of Identification Type of Identification
Produced Produced
r,0-vwf--�
(Signature of Notary Pub'c-Sta*, ridaSheryl D.Moore (Signature of Nota ublic-State of FloridaTARY PUBLIC
Commission No. ATE OF FLORIDA CommissionNo. SherylD.Moorets al)
mm#GG945237 OTARYPpires 1/15/2024 c STATE OF FLORIDA
imM#rrQAF;2.17
EV �1// 2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' AeUR� LE02 MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17