HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 06/19/2018ermit Number: I
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 x
PERMIT APPLICATION FOR: To Select from dropbox,click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION `
Address: 2805 S 27th ST, FORT PIERCE, FL 34981
Legal Description: MERRIWEATHER PARK S/D BLK 4 LOT 13 AND N 36.25 FT O LOT 14-LESS E5 FT-(0.27 AC)(OR 3460-1406)
Property Tax ID#: 2420-802-0083-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Barbara/STEVE Lindsay
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTfON'OF WORK }
/.
i
REPLACEMENT OF 6 WINDOWS (IMPACT) I -D 122
t S-012Z. I
C�N$T,RUCTIO'N`INFORMATION
itiona wor to e e orme under tispermit—c ec ana)ply:
E1HVAC Gas Tank E]Gas Piping _Shutters t✓Q Windows/Doors
ElElectric 0 Plumbing Sprinklers ElG nerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of irst Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
12503.00
OWNER/LESSEE:. V :CONT ACTOR:
7,a ;.
Name BARBARAISTEVE LINDASAY Name: P Iphonse Campanelli
Address:2805 S 27th ST Compan STORM TIGHT WINDOWS
City: FORT PIERCE State:FL Address:1500 SW 12TH AVENUE
Zip Code: 34981 Fax: City: DEEERFIELD BEACH State:FL
Phone No.(772)519-1165 Zip Code 33442 Fax: 7542277891
E-Mail:delco49@aol.com Phone N:). 5614200271
Fill in fee simple Title Holder on next page(if different E-Mail: 1, RAMIREZ@STORMTIGHTWINDOWS.COM
from the Owner listed above) State or ounty License: CRC046091
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAT ON
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:BARBARAISTEVELINDASAY Name:Alph 3nseCampanelli
Address:2805,S 27th ST,FORT PIERCE,FL 34981 Address: 2805S27IhST
City: FORT PIERCE State: City: DEERFIELD BEACH State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:500 Sw 12TH AVENUE Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of i permit.
St Lucie County makes no representation that is granting a permit will authorze the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaw or and covenants that may restrict or prohib c
structure.Please consult with your Home Owners Association and review you deed for any restrictions which may apply
In;consideration of the granting of this requested permit,I do hereby agree th t I will,in all respects,perform the wor
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 oncurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and iccessory uses to another non-residentia se
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice
improvements to your property. A Notice of Commencement ML st be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, con A with lender or an attorney before
commencing work or recording our Notice of Commencement.
Fl. `
Signature of Owner/Lessee/Contractor BcAAent for Owner Signature f ontractor/License Holder
STATE OF FLORIDA STATE C F FLORIDA
COUNTY OF COUNTYOF
The for oing instrument was acknowledged before me Theo ng instrument was acknowledged before me
this L day'of 7LL -,A 2616 by this 1 , Jay of 20Lf by
%1h /7S " i
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known. OR Produced Identification
Type of Idetification Type of Identification
Produced �� Produced
e
i
(Signature of No lip- ta) (Signatur of No P lic-State of Florida
s'tu;
rP' KARLA YUG "' 'die., KARLA YUGOVICH
Comm SNotary Public Steal) COmmiss 4`: ( aI)
�• : Commission# , 'c—State of Florida• +4 ' Commission le GG 207273
' My Comm.Expires 15,120
Bonded throw h Nationor r?,: My Comm.Expires Apr 15,2012
National Nota Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17