HomeMy WebLinkAboutJUDITH WOERFEL PERMIT APPw5g0
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) 452-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 211 SE Camino St Port St Lucie, FL 34952
Property Tax ID #: 3419-515-0276-000-1
Site Plan Name: Judith Woerfel
Project Name: Judith Woerfel
DETAILED DESCRIPTION OF WORK:
Installation of impact windows/doors.
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -IL4indows/Doors
— Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 6152.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNED/LESSEE:
CONTRACTOR:
Name Woerfel, Judith
Name: Alphonse Campanelli
Company: Storm Tight Windows
Address: 211 SE Camino St
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-878-8547
Address 500 SW 12th Ave
City: Deefield Beach State: FL
Zip Code: 33442 Fax:
Phone No 561-420-0271
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail stormtightpermits@outlook.com
State or County License CRC046091
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: iNot Applicable
Nance:
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.
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 Nome 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 HE 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_"
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Signa u of Owner/ Lessee/Contra r as Agent for Owner
Signature of Contractor/License l4older
STATE OF FLORI}Lz
STATE OF FLORIDA �}
COUNTY OF P lel;-
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COUNTY OF
The forgoing instr , ent was ac nowledgeA b4ore me
The f ging ins. r ent was�cknowled b ore me
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Name of person making statement.
Name of person making statement.
Personally KnownOR Produced Identification
Personally Known Produced Identification
Type of Ide 'fication
Type of Identi ication
Produced
Produced
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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