HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
z
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
Address: 152 Calle de Lagos, Ft Pierce, FI 34951
Legal Description: Spanish Lakes Country Club Village Leasehold Estates Being Lot 152 Calle de Lagos
Property Tax ID #: 1301-111-0001-000/5
Site Plan Name: Spanish Lakes Country Club Village
Project Name: _
Setbacks Front
Installing
-ftcn
Back: Right Side: Left Side:
accordion shutters on the windows and the lanai area of the home.
Lot No.
Block No.
Haaitionai worK to De ertormea unaer tnis permit — cnecK aii apply:
F]HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 6300.00 Utilities: Sewer Septic Building Height:
Name Wendy Brown
Address: 152 Calle de Lagos
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No. 518-755-7377
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: Wendy Brown
Address: 152 Callede Lagos, Ft Pierce, FI 34951
City: Ft Pierce State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Jeff Jackman
Address: 152 cane de Lagos
City: PortSt Lucie State:
Zip: Phone:
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 your Notice of Commencement.
Owssee ontractor as Agent for Owner
SignaturCOVDA
Signat of nt c r/Lic nse Holder
STATE
STATE OF FLORIDA
COUNTY OF _S Luc :t
COUNTY OF S �-' 1 e t
The forgQQing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _'rMay of-C-X_-h?p. 201,p by
this )JOLA day of 009)e / 20 Zv by
Name of person making statement
Name of person making statement
Personally Known ✓ I 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 ublic- State of Florida )
Sh a
Commission No. NOT UBL
Sheryl D. MQQ°°f!e
Commission No. YIP,Ii�L��
STATE OF FLORIDA
S STATE OF FLORIDA
Comm* GG945237
? Comm# GG945237
Expires 1
5/2024
E
Expires 1/15/2
D24
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17