HomeMy WebLinkAboutLevesquePermitApplication ALL APPLICABLE INFER MUST BE COMPLETED FOR APPLICATION TO 5E ACCEPTED
Date: Permit Number:
16 i
J
BuildingPermit Appl'ication
Planning and Development .services
Budding and Code Reg uiatoon Or v sion
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (77 ) 4 -1 53 Fax: (77 ) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR : Other Glass Room
PROPOSED IMPROVEMENT LOCATION ,:
Address: 16 LACE VISTA TRL 101 ----- -..._.
Le aI De cription : VISTA T LU IE BLDG 16 U NIT 101
Property Tax ID #f: 3422-500-0211-000-2 Lot No.
Site Plan Name: Bloch No.
Pr t I`V a rx�e. Levesque Glass Room
Setbacks Front Bach: fight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Ebro existing screen walls. Install new non-impact glass room on existing lanai .
Existing Accordion Shutters
CONSTRUCTION INFORM-ATION :
Additional or to be erformedunder-this permlit — check all apply:
H VAC Gas Tank Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof Pitch
Total Sq. Ft of Construction: Sq . Ft. of First Floor:
Cost of Construction: 8300.00 Utilities: ::] Sewer : Septic Building Height:
oW N ER E EE: CONTRACTOR:
Name Dennis J Levesque Name; Jonathan Starratt - - -- -
Add re p: 10 Lake Vista TRL Apt 101 Company: While Aluminum
. Port St Lucie of a F L d re 1790 Federal Hwy
pity. -Zip Code: 34952 Fax: City: Stuart State: FL
Phone No
7 - -15 1 Zip Code: 34994 Fax-
E-flail: Phone No. 77 - -00 0 — -
Fill in fee simple Title Holder on next page if different E- ail: njohnson@whitealum-inum.com
from the Owner listed above) State or County License: CGC 1523855
If value of construction is 2500 or more,, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL O TR TI O UEN LAW INFORMATION:
DESIGN ER EI INEER: Not Applicable MORTGAGE COMPANY: x _ Not Appl icable
Name; seaside Enginsers+Echvard RaSLF T Name:
Add r ss: 4Zrn5 -50M Cr d dress:
City-. Ysro teach State: FL i ter: State:
Phony _.. .. _.. __ Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDiNG COMPANY: Not Applicable
Name -
Address : Address:
City;. - - --- _ City:
Zip: Phone: - - - Zip: Phone:
OWNER CONTRACTOR AFFID IT: APpiicatiein is hereby made to obtain a permit to do the work and installation as indicated..
I certify that no work or in tailation has commenced prior to the issuance of a permit.
t. Lucie Courts ekes o representation that is granting a permit itI authorize the permit holder to build the subject structure
whichis 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 cDrisi derati on of the granting of this r eq vested permit, I do hereby agree that I will, in ah respects, perform the work
I
re accordance with the approved pla ns, the FloridanBuiI&ng Codes and St. Lucie County Amendments.
The follows ng hu ildi rig perm it appi icat ins a re exempt from u ndergoing a full concurren review: room additions,
accessory structures# s !mrniIng pools, fences, malIs, signs, screen rooms and accessory uses to another non-residentlaI use
WARN IN G TO OWN ER: Your failure to Record a Notice of Commencement maV result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luci a Cou nty a nd posted on t he j ohs ite before the first i n spection. If you i ntend to obta in fi n a nci n , consult
with lender or an attorney before commencing work or recordi r Notice of Commencement.
Signature of Own r/ Les e/Contractor as Agent for Owner - - Signature of Cof acto 11cense Holder
STATE of FLORIDA STATE OF FLORIDA
COUNTY OF maw, COUNTY OF min
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Pre ence4or - -- -- Online Notarization x Physical Presence o � Online Notarization
this day of 20 4 by this day of . ��.. 2021 by
Name of person making statement. Name of person making statement.
Personally Known X OR Produced identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
rc�d uc p rod ucd
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(Signature of tary Public- t P u bl kc State of F9 �A ig to r of eta r u hl ic- State Of t # o�id
No ta�+ ta+ + 1�u t>i�r. Ste
A i�6� �aP��� _ eta��e�
Commission No. G �5102 mis5kon 235 0 o�1 �sslan o. 5102 � ���Ma 102
INAy
4 Ere s 07 ro.4)2022w
COMM i5510 r�
Expires OM41 0
REVI EI S FONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
R ECEIVE D
DATE
COMPLETED
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