HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date °�� a`� Permit Number:
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Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
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: 14 Casa Rio Port St Lucie, FL 34952
Property Tax ID#: 3426-500-0135-000-7 Lot No. 14
Site Plan Name: Richard C Dixon Betty J Dixon Block No.
Project Name: Richard C Dixon Betty J Dixon
Installation of impact windows.
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Additional work to be performed under this permit–check all that apply: o
_Mechanical _Gas Tank —Gas Piping _Shutters W Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 12976.00 Utilities: —Sewer _Septic Building Height:
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Name Richard C Dixon Betty J Dixon Name:Alphonse Campanelli
Address:14 Casa Rio Company:Storm Tight Windows
City: Port St Lucie State: FL Address:500 SW 12th Ave
Zip Code: 34952 Fax: City: Deefield Beach State:FL
Phone No.(724)991-7751 Zip Code: 33442 Fax:
E-Mail: 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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DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: �Not Applicable
Name: Name:
ia
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
WIT YOUR LENDER OR Afil ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME MENT"
S' na of 0 ner/ else ntF ctor as Agent for Owner Si a ure Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ COUNTY OFo�?c�
TZforing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
tday of 20,P by this day of L 20 Jo by
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Name of person making sta ment. Narhe o e so king statement
Personally Kno Personally
Type ofldentifi YPU+ JOSEPH PAUL I
e Type en i JOSEPH PAUL DIBIASE
Produced '_° ;State of Florida-Notary Pubic produce Ze �`�=State of Florida-Notary Public
#GG 113624 - _ £ rt rissro�-0 GG 113624
My Commission Expires
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'OF
September 10, 2021 %lF o° My Commission Expires
J+ ��+ntIX September 10, ----
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida}
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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