HomeMy WebLinkAboutBuilding Permit Application �9y�3
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3'a`3�6 Permit Number:
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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 TYPE:
PROP�5ED ItVIPROVEWNT LOCAT[QN:
Address: 5903 TANGELO DRIVE, FORT PIERCE, FL 34982
Property Tax ID#: 3402-610-0185-000-6 Lot No.
Site Plan Name: SIZEMORE, RICHARD B &JULIE Block No.
Project Name: SIZEMORE. RICHARD B&JULIE
L7ETAILED:DESCRI;PTI 0N OF WORK :j.
INSTALLATION OF 12 IMPACT WINDOWS
`C0NSTRVGTI0N INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1780 Sq. Ft.of First Floor: 1780
Cost of Construction:$ 18878.00 Utilities: —Sewer _Septic Building Height:
O.WNERJLESSEE: :CO'NTRACTOR : L n
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Name y,,oQ , Name:ALPHONSE CAMPANELLI
Address:-5Q1o:Zj -TaliiaL -D<-, Company:STORM TIGHT WINDOWS
City: "PI-XC1 State: Address:500 SW 12TH AVE
Zip Code: rFax: City: DEERFIELD BEACH State:FL
Phone No. �Z� �irr� b Zip Code: 33442 Fax: 754-227-7891
E-Mail: /Ac Phone No 561-420-0271
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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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`SUPPLEM'ENTALCONSTRUCT,ION HIEN LAW INFORMATION:
E.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign re of Owner/LSdsee/Contracf9r as Agent for Owner Signatur ' f Contractor/License Holder
STATE OF FLORID �1 � STATE OF FLORIDA-- �„(
COUNTY OF COUNTY OF
The f r ing i nt�vas cknowledge _b fore me The f in m t as ck owle fore me
thigjday o _ y thi day _ y
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Name of person making statement. Name of pEUson making statement.
Personally Known OR Prodbicei,IdentifW99MYJ ER Personally Known i� OR Produced Identification
Type of Identification = '� '���P C=tU.:n, 21M Type of Identification �':' '.`ei,� KIMBERLY LUGER
Produced ( or �t�s Moy 17,2022 Produced a ? ° C=mis GG 21942
^ e` �Y :s rt 9,saatlY s o= Exp,res May 17,2022
._
(Signature of Notary Pu is to of Fldr' a) (Signature of Notary Public-State of Klorid6y
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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