HomeMy WebLinkAboutBuilding Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /2
Date: Permit Number: Oy�SCJ
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 103 BEACH AVE PORT SAINT LUCIE FL 34952
Legal Description: RIVER PARK UNIT 3
Property Tax ID#: 3419-515-0040-000-8 Lot No. 13
Site Plan Name: Block No. 5
Project Name: MARYANN DURANTE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 2 IMPACT WINDOWS
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
nElectric E]PlumbingSprinklers E Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2,447.50 Utilities:Cn Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CHRISTOPHER J DURANTE Name: GUSTAVO F PEREZ
Address:103 BEACH AVENUE Company: STORMGUARD WINDOWS& DOORS
City: PORT SAINT LUCIE State:FL Address: 3600 S CONGRESS AVE
Zip Code: 34952 Fax: City: BOYNTON BEACH State: FL
Phone No. Zip Code: 33426 Fax:
E-Mail: Phone No. 561 594 1540
Fill in fee simple Title Holder on next page( if different E-Mail: PERMITS@STORMGUARDWINDOW.COM
from the Owner listed above) State or County License: CBC1262291
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:3600S CONGRESS AVE 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 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.
� A O-L—� _"�_ L_____
ignatur of Ow r/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO "PA STATE OF FLORID
COUNTY OF f"rAlrl'1 COUNTY OF il"4/
The f%Eoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this��day of r 20A this 2� day of 20�E by
MARYANN DURANTE Cj( 1 wu ('rf CZ
Name of person making statement /' Name of perso making statement
Personally Known OR Produced Identification t/ Personally Known OR Produced Identification
Type of IdeaLification Type of Identification
Produced V L— Produced
F(Signat�ureof Notary Public-State of Florida) (Si tur of Notary Public a Pip IOfl4@Jry public State of Fonda
RP Rothman M Zavala
Commission No. Stats of Flo(,, ommission I i16/2ission G1 135316
Notary COW
E 8118!2021
�T' J
Seth Ortiz 18835
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REVIEWS FRO ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17