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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —I_°L
Permit Number:
RECEIVED
Building Permit Application AUG 21 2020
Planning and Development Services
Building and Code Regulation Division permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 9E,6ygl®
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
�PRO'POSED IMPR'OVaEMEN4T`�LOCATIQN � � � - ,3
1720 TIMBERLAKE DR FORT PIERCE, FL 34947
Address: i
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--Legal-Description:-TIMBERLAKE ESTATES LOT 32
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Property Tax ID#: 2302-601-0036-000-9 Lot No.32
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ON
DETAILEDD"E�SCRIPTION+OF WORK
REPLACEMENT OF 7 WINDOWS (IMPACT)
61
dCONrST13lJCTIONr INFORMATIOTNe�>j } °' r `� r t
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0 Electric 0 Plumbing U Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 14,937 Utilities:Sewer ElSeptic Building Height:
ODUN%LES�S'EE CON1'RAC I-OR r {
2 ._
Name John/Gwendolyn Morris Name: Alphonse Campanelli
Address:1720 Timberlake Dr Company: STORM TIGHT WINDOWS
City: FORT PIERCE State: FL Address: 500 SW 12TH AVENUE
Zip Code: 34947 Fax: City: DEERFIELD BEACH State:FL
Phone No.(772)461-5485 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: stormtightpermits@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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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: 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
commerie n :work or recording our Notice of Commencement.
nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA ej�b (+Q STATE OF FLORIDA M'. (,1], 2 n
COUNTY OF d I�\rl COUNTY OF—
The ,
�1�
TheMay
g instr e t was acknowledge-d.hefore me The forgoing instrument was acknowledged before me
this of 20 by this day of 20_ by
'C'bhp MrIM's pmmp
Name of person making statement Name of persog making st tement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Ide ' icatlon"
Produced Pro d
Ca F
o P I _
(Signatureo Nota - �of Florida) Signat of Notary Public-State of Florida)
y 6ommission Expires 0110 =3 v Due, VERED WEINSTOC
Commission6mGrtmisSlon No.GG 288500(Seal) Commission No. aot�?••.•;beal&mmission#GG 178 8
Expires January23,2 2
p� 5andadTWUBu*tN0tW$e I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER i REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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