Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / h ) Permit Number: -� rn RECEIVE® Building Permit ApplicationNov 2 0 201 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re-61lellie County, FL PERMIT APPLICATION FOR: Window/door PR©POSED-IMPR0IIEMENT LOCATICiN9 . Address: 115 E ARBOR AVE PORT SAINT LUCIE, FL 34952 Legal Description: RIVER PARK-UNIT 3- BILK 3 LOT 7 Property Tax ID#: 3419-515-0010-000-9 Lot No.7 Site Plan Name: Block No. 3 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK REPLACEMENT OF 12 WINDOWS (IMPACT) .E CONSTRUCTION INFORMATION Additional work to (ever orme under this permit–check a that appy: HVAC L_I Gas Tank []Gas Piping Shutters Z Windows/Doors Electric ❑ Plumbing Sprinklers E]Generator E] Roof Roof pitch Total Sq. Ft of Construction: S:cn—Ftof First Floor: Cost of Construction:$ 16,500 UtilitiesSewer[]Septictic Building Height: QWNER/LESSEE CONTRACTOR '' Name PATSY DISNEY Name: Alphonse Campanelli Address:115 E ARBOR AVE Company: STORM TIGHT WINDOWS City: PORT SAINT LUCIE State:FL Address: Zip Code: 34952 Fax: City: DEERFIELD BEACH State:FL Phone No.(937)286-7901 Zip Code: 33442 Fax: 754-227-7891 E-Mail: Phone No. 954-320-7554 Fill in fee simple Title Holder on next page (if different E-Mail: KRAMIREZ@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. SUPPLEMENTA{_,CONSTRUCTION LEEN LAW INFORMATION A DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name:PATSY DISNEY Name:Alphonse Campanelli Address:115E ARBOR AVE PORT SAINT LUCIE,FL 34952 Address: 115E ARBOR AVE City: PORT SAINT LUCIE State: City: DEERFIELD BEACH 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: 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 conlrqencing work or recording our Notice of Commencement. Signa ure ofnor/ essee/Contra r as Agent for Owner Signature of Contractor/License Holder STATE OF FLORJJPA STATE OF FL DA (� COUNTY OF `¢�j,((�,_ �L!(�"`1 COUNTY OF CCS LVY , The going ins ment was acknowledg efore me The f oing ins r ment was11ac,k��nowledg d before me this day of 20 by this day of �YYIW 20 by Name of person making stateme tJ Name of person maki g statement Personally Known OR Produced Identification✓� Personally Known -----OR Produced Identification Type of Identi 'ca ' n Type of Identification Produced LJ Produced (S'gnat of Notary Pu=2_7W r'd (Signature Nota y Publico State�ofFlorida) CommISSIOn NO.66� otaryry�Pu,b,++``c State of Florida � /'� o eG Notes�P gqlic State of Florida ennff��Y7i�bien Commission No." 7 Jer714177)ubien e My Commission GG 179700 N c My Commission GG 179700 os moa` Expires 01 128/2022 'ff of poo- Expires 01 128/2022 11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW -DATE RECEIVED DATE COMPLETED Rev.8/2/17