HomeMy WebLinkAboutBuilding Permit Application 615
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: f 1 ) l7 1v
� ®
Building Application
uildin Permit
�
Planning and Development Services NOV 14 2017
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: W l �� p y\)a .
sPR�POSED 111lIPRQVEMENT LC}CATION ; . ,. ....
t
Address: 4103 Smokey Pines Court,Ft Pierce,FL 34951
Legal Description:
Property Tax ID#:1313-502-0104-000-4 Lot No.
Site Plan Name: Block No.
Project Name: John or Ruth Sweigert
Setbacks Front Back: Right Side: Left Side:
x �.� .x ��� fit, � � „ � �,S�^ �o-r � �
QETAILEQ QESCRIPTION C}F 1111ORK r �
Replacement of 13 windows 0 doors
x ''.c a 7
Ct?N5T(tUCTIt3N INFORMATION
Additional wor K toa performed under this permit—c ec a apply:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric F-1PlumbingSprinklers Generator 1:1 Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 18,390 Utilitles:]Sewer Septic Building Height:
OVt(NER/LESS'EE , ' x PCONTRACTOR
Name John or Ruth Sweigert Name.Alphonse P. Campanelli.
n t
Address: 4103 Smokey Pines Court Company:Storm Tight Windows,Inc.
City: Ft Pierce State: FL Address:500 SW 12th ave
Zip Code: 34951 Fax: City:Deerfield Beach State:FL
Phone No. 772-708-3366 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: bbatista(&stormtightwindows.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.
SUPPLEMENTAL CNSTRUCTION LIEN LAW INFRMATIIJIV` ,7�
DESIGNER/ENGINEER: _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 certifythat no work or installation has commenced priorto 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 1'obsite
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.
Aw-a— 5�_t _c'a-4 = ChdA44-e-20,
�c
Signature of Owner/Agent/Le see Signature of 96 ntracto r/License Holder
STATE OF FLORIDA B��'C) STATECOUN Y OF ORID/�s�^���
COUNTY OF
The foing instrum t wad acknowledged b ore me The f�pging instru , nt was acknowledged before me
this day of Gi— 20 y this /day of G 20 i�7Sy
Au4h Scje-154- c-,r +
(Name of person acknowledging (Name of fierson acknowledging)
(Signature of ry Public-State j0ftlorida} (Signature of Dffitiry Public-Sta of Florida-)
Personally Known OR Produced Id�ntifica io0 Personally Known OR Produced Identifi af= L-111
Type of Identification Produced 19 Type of Identification Produced��,\
caeca.
Commission No. ®o Commission No. \\� ( MISSIO,q,'•.•00 9 �
. 2 i
Revised 07/15/2014 _ ®•® o a � #FF902392
\ #FF 902392m %99':ymN ate:
REVIEWS FRONT ZONI �p� \ PLANS VEGETATION SEATURi �_4111VE
COUNTER REVIEIN'emej /C REVIEW REVIEW REVIEW VIEW
DATE
COMPLETE
INITIALS