HomeMy WebLinkAboutCagnoni permitAll 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: (W466,
pro Ilt,
Address: —4)0VElle
Property Tax ID #: � Lot No.
Site Plan Name:
Project Name:
Block No.
_1 186 RgUICM � , - 7RL NOV ?aY ----VO f-�g PSF
Additional work to be performed under this permit — check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ '-) ) yc '�v
_ Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
f
V Windows/Doors
Roof Pitch
Utilities: (_Sewer _ Septic Building Height:
Name 1-08.15 CAWDN1 ,"
:3
Address: , -50Vik�-141IW--A1- ��, s
City: /W6 Stater
Zip Code: `ig i Fax:
Phone No. (930, x'03' q S&
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: ,)D�
Company: DPYS AA)D WR.6'_
Address: 4V4 HUI
CityPlState:
Zip Code: Fax: ���` �5'a'�i1D3,2,
Phone No _`-[? '1 y 1
E -Mail Ae4nn ani t"re 7r, CSM
State or County License C14:� (33 15'qO
It value of construction is 52500 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.
W IN
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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 thepermit 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."
Signature o Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFA
COUNTY OF ��lC.
The forgoing instrument was acknowledged before me
this,2t__ day ofi ,;.� 20X0 by
The forgoing instrument was acknowledged before me
this '�/ day ofQ�1,�;L 2Q�Oby
. Eaaggc=
�� 4"", PA_
Name of person making statement.
Name of person making statement.
Personally Known f/ OR Produced Identification
Type of Identification
Personally Known ✓ OR Produced Identification
TAe of Identification
Produced
'Produced
•• j.PYP!, % BETTY PRIDE
(Sign ture 9f Notary P 64y 20�"
%''F
'r„Op F�,N Bafdad Thru Trap Fain hKlr'aaCa 8A63E67C10
Commission No.
------------------- -
BETTY PRIDE
(Signature f Notary Pu the 4 1
"� • -: Explm July 2, 2022
f, , , , .�''� gp :NIUafIN/004661011
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
QUOTE
Name I YlV— —
Doors & More of the Treasure Coast, Inc.
Address I so y ev,,e t! x\ wk, -A- Qj &-eti COV -4
Street cj city
841 S King's Hwy
Ft. Pierce, FL 34945
P: (772) 409-4501
F: (772) 252-4633
www.doorsandmoretc.com
Phone �� �D - -�5�� E-mail
Door Size f )C7 Model JL -4 Windload -4- U `'`7 z5 PS
Color: �NteAlmond Brown $ 1 d
Tear Out $�'
Insulation $
Wood 2 X 6 PT
Operator
Remotes: c�1 2 3 Rail: 7 Ft 8 Ft
KeyPad
Re hook-up motor: Yes No
Trim Ye No Color: �,U
Additional parts:
ne
x
40.0
1x�d o R J00a
0
�errvll�"L�tt
r
qo
R
TOTAL
V1
Accepted by Customer r Date 1
Signature