HomeMy WebLinkAboutBuilding Permit Application S8;)7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number: / ! � —y /7
�. RECEIVED
Building Permit Application FEB ®9 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34382 /
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: _§bM#er_ W),ill JD 0(/,)S
F'RGIPOSED IMpRC3VEMENT,LOCATION j h stn *
Address: 8290 SandPine Circle,Port St Lucie,FI 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 36
Property Tax ID#:3426-703-0050-000-0 Lot No.36
Site Plan Name: Block No.
Project Name:Charles Miller or Barbara Daume
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCRIPTION 4F WORK � A� ` �" ' $ �t ���a' s
"
Replacement of windows doors
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itiona wor to a er orme under this permit—check a appy:
OHUAC EiGas
Vzc;.K
Tank ❑Gas PipingShutters ❑Windows/Doors
11 Electric 1:1 _Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 18446.00 Utilities:11Sewer ElSeptic Building Height:
t o,tS y s vY t a
Olf NERJLE55EE. , :CONTRACTOR r v
Name Charles Miller or Barbara Daume Name:Alphonse P. Campanelli
Address: 8290 SandPine Circle Company:Storm Tight Windows,Inc.
City: Port St Lucie State: Fl Address:500 SW 12th Ave
Zip Code: 34952 Fax: City:Deerfield Beach State:FL
Phone No. 772-879-7921 Zip Code: 33441 Fax:561-292-3562
E-Mail: Phone No. 561-536-4387
Fill in fee simple Title Holder on next page(if different E-Mail:stormtightpermits(Doutlook.com
from the Owner listed above) State or County License:CRC046091
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CON5TRUC1"LON LIEN LAW.,INFORMATIUN;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not•Applicable '
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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.
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Si` gnature:of-Owner/Agent/-L-esseeSignature of Contractor/License Holder
STATE OF FLORA STATE OF FLQRMA
COUNTY OF r'(n w \ COUNTY OFA;��[ 1�� Cd
e fD oing instrunt was acknowledge _ ore me The fo oing instal a�t was acknowledged before me
his lli day of 20 a by this�Jday of ,20-1 by
(Na' of person ack o le ging v (Nr)of1Iiersonackn wledging}
DA4 J 0-A0
(Sin ture of Notary P bl' -State of Florida} (Sig at re of Notary P 'Ij -State of Florida)
Personally Known OR Produced-Identification Personally Known ----O—R Produced Identification
Type of Identification Produced _ Type of Identification Produced
Commission No. ::��'•YFiCommission No. fill
commission FL;!ii..4ai
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Revised 07/15/2014` rvyFat ! ,urarra�` gp,` .?p "a;,ai3t lrerca rg, ,:y
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS