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HomeMy WebLinkAboutGOODNER PERMIT APPPrg5.-�9 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 TYPE: Address: Property Tax ID #: 3404-710-0036-000-0 Lot No. 31 Site Plan Name: Adam K Goodner Block No. Project Name: Adam K Goodner DETAILED DESCRIPTION OF WORK: Installation of impact windows/doors. 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: Cost of Construction: $44610L Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Adam K Good ner Name: Alphonse Campanelli Address:10342 SW Ligustrum DR Company; Storm Tight Windows City: Port Saint Lucie State: FL Address:500 SW 12th Ave Zip Code: 34981 F x: City: ReefEeld beach State: FL Phone No. (772)216-4355 '2-70 % " Zip Code: 33442 Fax: E-Mail: Phone No561-420-0271 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 it value of construction is �zsuo 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 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: _ Nat 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 bylaws rules, 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 POSTE© 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." AJA,,, Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder' STATE OF FLORIDA 54 L� . STATE OF FLORIDA COUNTY OF C1 `� COUNTY OF The faigging in d bfore me this day o �y r Ding inst led fore me thh day of Zi�y Lknowled l, Name of person making statement. Nan a of pe son making statement. ;• K MBERLYJ LUGEg Personally Known OR ed Ii0d2i� ` � Personally Known V OR1'rocuced Idlgpij� Type of Identification ExP res May 17, 2= ``' Type of I Gam ntification ' �` r -� Usion # GG 21942; Produc d ' �+k4paNxrts",„ Produce rs Ma y 17, 2472 :. �no:cnru►1x.rsmr�es (Signature of Notary to o Florida) (Signature of Notary Pub ic- t of 66rida Commission No alj Commission N(Seat) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 211119