HomeMy WebLinkAboutBuilding Permit Application�f A-L. °PLIC�1$ f i7 ,, 1t i' E Co.17LETED FOIE APPLICATION 1 O BEACCERTEL. �
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Permit .'Number:
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Planning and 0e,(1elopmeni services
Building and Code Requlet�on Dwisro'n ' [�� , Elserraa
230041rgmia Avenue, trt o_ •Pierce FL.34982- -. - -
St. Lucie Cccrr2y, FL
Phone.' (77Z) 462-1553 'Fax: (772) 462-1578 Commercial Residential x
PERMI-T'APPLICATION FOR: To Select from dropbox, click arrow at the end of line Sunrdom
PROPOSED IMPROVEMENT LOCATION:.
Address: 56 Flores d 1 Norte -g ani sh Takes Cr)untr . lub 171 1 i age
Legal Description: Spanish Lakes Country Club Estates
(previous mobile home lot)
PropertyTax lD#: 13:01-111-0001-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: CZS Right Side: 7 Co Left Side:
DETAILED DESCRIPTION OF WORK:
- I
. I
Construct catagory -II sunroom on existing slab-.= under
.existing truss roof. Electric to code.
(Converting rear lanai)
CONSTRUCTION. INFORMATION~
Additional work to be nej orme under tis —checkpermit a apply:
�HVAC L _I Gas Tank . ❑Gas Piping In Shutters a Windows/Doors
Electric Plumbing Sprinklers E Generator 0 Roof
Total Sq. Ft of Construction: 2 0 0 Sq. Ft. of First Floor:
Cost of Construction:$ 8,000.00 Utilities: Sewer Oseptic Building Height:
OWNER/LESSEE: CONTRACTOR:"
Name Sue Hake Name: o of f aac-kman
Address:56 Flores del Norte Company:Master Craft Aluminum Prod.
City: Fort Pierce State: FL Address:1634 SE Niemeyer Cir.
Zip Code: 34951 Fax: City: PSL State:FT,
Phone No. 201 —0 55 Zip Code 4gr;2 Fax: -�-ir;_
E-Mail: Phone No.3-15_1 1 77
Fill in fee simple Title Holder on next page ( if different E-Mail: ma GtPrr ra ffa l umi niiM@gma i 1 rnm
from the Owner listed above) State or County License: _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required
r^OfI�i��,I. v� GTION-LIEN LAW INFORMATION: .;
I ns ;,;(_TIER/ENGiNEE R: Not Applicable MORTGAGE COMPANY: X Not Applicable,
NL'rr)e: __S_uhc-nag.t. Al iimniim F.ncri nPPri nCr Name:
F,coress:_ h 0 58th St _ N _ Ste 101 Address:
v _Clearwater FL State: _ City: State:
7_ip: 33760 — Phone: 727-532-9000 Zip: Phone:
FEE SIMPLE TITLE HOLDER
Name: _
Address:
City:
Zip: Phone: _
. x Not Applicable
BONDING COMPANY:
Name: _
Address:
City:
Zip: Phone:
x Not Applicable
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 I. 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.
i
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 roecordina vour Notice of Commencement. e ! /l
_ Sigfature
Agent
STATE OF LO ICJ
COUNTY OT--/ St. Lucie
The forgoing instrument was acknowledged before me
this 4 day of April ' , 20 L7by
Jeff Jackman
(Name of person acknowledging )
(Signature of NotaryState of Florida )
Persona n ��D•oduced Identification
Type NOT U
STATE OF FLOPJDA
Com iiFF942382 . (Seal)
Expires 1/15/2020
Revised 07/15/2014
IV/ 5
Sign re of Cot7DA
or/Licens older
STATE OF FL
COUNTY"OF St. Lucie
The forgoing instrument was acknowledged -before me
this 4 day of April 20 1.7 by
Jeff Jackman
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
,Ibn 4FF942382 (Seal)
EOMS 1115/2020
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