HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: rJ 3 RECEIV7D MAY 31 2011 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
PERMIT APPLICATION FOR: Shutter
PRQPOSED IMPROVEMENT LOCATION:
Address: 212 Ramie lane,Port Saint Lucie,F134952
Legal Description:RIVER PARK-UNIT 2-BLK 22 LOT 12(MAP 34/
Property Tax ID.#:3419-510-0329-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Susan Risoldi
Setbacks Front Back: Right Side: Left Side:
DET/�ILED DE5CRIPTIQN OF.IIUORK
Replacement of indows 0 doors
CONSTRUCTItN IN;FQRMATION
ACIC11tional wor toa rtormed underthis permit—check a apply:
❑HVAC _Gas ❑Gas Pi _
_ Piping Shutters ❑Windows/Doors
11Electric EJ Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 8788.00 Utilities:Sewer❑Septic Building Height:
Q:WN ER%LESSEE CONTRACsTC7`R
Name Susan Risoldi Name:Alphonse P. Campanelli
Address: 212 Ramie Lane Company:Storm Tight Windows,Inc.
City: Port Saint Lucie State: FL Address:500 SW 12th Ave
Zip Code: 34952 Fax: City:Deerfield Beach State:FL
Phone No. Zip Code: 33441 Fax:561-292-3562
E-mail: Phone No. 561-536-4387
Fill in fee simple Title Holder on next page I if different E-Mail: stormtightpermits(aDoutlook.com
from the Owner listed above) State or County License:CRC046091
LIf value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPRLMENTLCQNSTfUCTi �I LIN`LVIt IIUFRIIATtQN.�
n:
D.ESIGNER/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 certifythat 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 grantingof 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.
D � �
S gnat re;gf ptinrne JAgentiJ see ;Signature of,,C-iin(ta�ct /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 15[a )CJ COUNTY OF
The f oing instru e tv�as acknowledged before me The f oing instrument was acknowledged before me
this�day of �C SJ 20�by this�day of 20 by
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{,Name #:person acknowledging)
{Name person acknowledging}
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{Signatu of Notary Public- to of Florida`} {Signature . tary Public-S of Florida)
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Personally'Known OR Produpqd 1 tlfld1MOO, Personally Known. OR Pro d i
T e.of Identification Produced ` CA %—
Type of Identification Produced �` ••"°••
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