HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 Permit Number: 'd 5M-
RECEIVED OCT 2 0 2017
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
PRG1Pa5ED,11111�PFtOVEME'NT tOCATI( N.$
Address: 5609 Spruce Dr,Fort Pierce,F134982
Legal Description: INDIAN RIVER ESTATES-UNIT-09- BLK 77 LOT 21 (MAP 34/11N) (OR 705-2447)
Property Tax ID#:3402-610-0206-000-0 Lot No.21
Site Plan Name: Block No.
Project Name..Richard or Terry Sinapi
Setbacks Front Back: RightSlde: Left Side:
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Replacement of_;windows 0 doors
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CONSTRUCTIt??N�INF
URMATION
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Aaditional work to Be nartormed underd this permit-c ec a apply:
❑HVAC _Gas Tank Gas Piping _Shutters Windows Doors
❑ pg /
Electric ❑Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9834.00 UtilitiestSewer Septic Building Height:
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OWNER/LESSEE ., _
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Name Richard or Terry Sinapi Name:Alphonse P. Campanelli
Address. 5609 Spruce Dr Company:Storm Tight Windows,Inc.
City: Fort Pierce State:_ Address:500 SW 12th Ave
Zip Code. 34982 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( if different E-Mail:stormtightpermitsna outlook.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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DESIGNER/EN61NEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat 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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Sig ature of OwnerJ,Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF Ian 1 C3�G COUNTY OFIr�a�
The fo Ding instruments acknowledge before me The forgoing instrumerwas acknowledgedAefore me
this day of OCT 20 by this, day of U _4 ,20__L^y
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{Name of person acknowledging) {Name of l5itson acknowledging} r�
{Signature of No ry Public-State lorida} {Signature a otary Public-S Fon
Personally Known OR Produced Identification' Personally Known OR Produced Iden . icati
Type of Identification Produced Type of Identification Produced :!!�_
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Commission No. ��\ BA.Tjs���i Commission No. \\��\�� (� @1,}BA.Tjs
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Revised 0711512014 , • ��® �,I y - �.�
REVIEWS FRONT Zii �• za • R PLANS VEGETATION SWR dm VE
COUNTER RE e'• ••• REVIEW REVIEW IEW
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DATE �Illl IIIIIIN
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