HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ']
Date:
(7- (Q—02Z Permit Number: "` 0 O P-7
RECEIVED
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isJUL 12020'.--�ti. BuildingPermit Application pp ST. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
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Address:
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Address: 5001 SEMINOLE RD Fort Pierce, FL 34951
Property Tax ID#: 1314-231-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
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DETAyILED-DES'CRIPI"I'ONOFWORK � f g
INSTALL 6 IMPACT WINDOWS .
New Electrical Meter Second Electrical Meter
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CONST�RU}CTIONrINFORMATIOaN� � � A � � h�' � � .
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 12048.00 Utilities: —Sewer _Septic Building Height:
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LESSEE�, � �y NO
� CONaTRAGTORs:TIP
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Name Gerald Turgeon Name:ALPHONSE CAMPANELLIE
Address:5001•E-Seminole RD - Company:STORM TGHT WINGOWS
City: Fort Pierce State:_ Address:500.SW 12TH AVE
Zip Code: 34.951.. Fax: City: DEERFIELD•BEACH State:FL
Phone No.(561)385-9605 Zip Code: 33442 Fax:
E-Mail: Phone No 954-893-6339
Fill in fee simple Title Hold r 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 HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUkPFLEMENTALCONSTRUCTION LIEN`LAWrINFORMATION
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DESIGNER/ENGINEER: _Not Applicable J 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Le a/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOM Qom,,() STATE OF FLORIDA 11 -II
COUNTY OF �//.�{//,� COUNTY OF �
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
�P ysical Pre ence or Online Notarization P ysical res nce or Online Notarization
this day 2020 by this da 2020 by
Nam f erson making statement. Name o p rson making statement.
Personally Known '/OR Produced Identification Personally Known >r OR Produced Identification
Type of Identification Type of entification
Pro uced Produce
(Signature of Notary P li = e f Fl r a� ignature of Notary Publ c-State o Florida)
•' B GGL 7 24 ��tk� k"I KIlA ERLYJ LUGER
Commission No. t`��`' * 0or"�I Commission No. Opf)7GG219424
we e Exp:,,c ►4ay 17,"e'Q22
Foy p�, 6aa� X.r. y 17, save ExpitEs May 17,2[722
`,_ ` W-1 Serres
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.5/15/20