HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • ��' zo �� Permit Number:.•e=CLf �O ���
' RECEIVED
Building Permit Applitat nMAR 17 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 15 Lake Vista Trl 207,Port St Lucie,FL 34952
Property Tax ID#:3422-500-0210-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Vincenza Pizzurro
DETAILED DESCRIPTION OF'WORK:
Replacement 7 Windows ;--r-h�y A(-X
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$99743 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameVincenza Pizzurro Name:Steve Lambert
Address:15 Lake Vista Trl 207 Company:Newsouth Window Solutions
City. Port St Lucie State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34952 Fax: City:West Palm Beach State:FL
Phone No.772-879-6226 Zip Code:33409 Fax:561-478-4100
E-Mail: Phone No 561-712-9000
Fill in fee simple Title Holder on next page{If different E-Mailwestpalmbeach@newsouthwindow.com
from the Owner listed above) State or County License SCC131151763
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.
SUPPLEMENTAL CONSTRUCTION Litffl_AW.INFORMATION':
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name-
Add ress Add ress:
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 Counttyy makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which!sin conflict with any applicable Home Owners Association rules,bylaws brand 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,Ido 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
1WARNING TO OWNER:YOUR FAILURE TORECORD 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 .OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF NENCEMENT A
Si Kature Owner/ see.Contractor i0g ant for O knr Signature of Contractor/License Holder
STATE OF
STATE OF
DMA
COUNTY OFO I'Qei3�Lr1 COUNTY OFO �V'►�
The fo oing instr�u�,�t1 ent was acknowledged before me The for ing instr nt was acknowledged before me
this day of kA0_r'C.h ,20W by this day of t -C(/" .20X by
V%rNcelnza P., Z Zc-c—ro _
Name of person making statement. Name of pe on making statement.
Personally Known OR Produced Identification � Personally Known�Produced Identification LL
Type.of Identifica ion Type of Identification
Produced pi Produced 16 C
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{S gnature o Notary Public-S ure of Notary Public-State of Florida )
YPf/�� PHILIP G. PERO
°v'- of Florida-Notary Public /�.
Commission"No. �gg �C J�__�`7Ct 7Lf (Seal) p A
*r"Cofnmission # GG 1 6fib Isslon No. 7
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My Commission Ex i1es
tuber 10,.20 0�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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