HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/13/2020 Permit Number: 'Zorn 0 ea
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 X
PERMITTYPE: WINDOWS
PROPOSED IIVIPROVEMENT LOCATION ` `
Address: 288 Old Key West PL Fort Pierce, FL 34982
�roperty Tax ID#: 3410-508-0277-000-9 Lot No.
Site Plan Name: TROPICAL ISLES (OR 2786-2163) UNIT K-01 (OR 3721-2953) Block No.
(Project Name:
DETAILED DESCRlPl ION OF WC+RK s a AF
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Installation of impact windows/doors.
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CONSTRUCTIQN 1NFORMATIOI� ` z ,a Y a:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _zwindows/Doors
—Electric _Plumbing —Sprinklers —Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: 02
Utilities: _Sewer _Septic Building Height:
OV�INER/LESSEEM 4
Ra CONTRACTOR
Name DOROTHY R MC ELANEY Name:Alphonse Campanelli\
' Address:288 Old Key West PL Company:Storm Tight Windows
City: Fort Pierce State: FL Address:500 SW 12th Ave
Zip Code: 34982 Fax: City: Deefield Beach State:FL
Phone No.772-359-7770 Zip Code: 33442 Fax:
E-Mail: Phone No 561-420-0271
Fill in fee simple Title Holder Wn next page(if different E-Mail stormtightpermits@outlook.com
from the Owner listed above) State or County License SCC131151799
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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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SUPPLEMENT
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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 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
II 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
11 n 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."
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Signature of Owne17 Lessee/Contractor&-s Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF BROWARD COUNTY OFBROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 13 day of JUNE 20M by this 13 day of JUNE 20Qb by
Dorothy R McElaney ALPHONSE CAMPENLLI
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identifi, x,pt;,qp, Personally Known x OR Produced Identification
Type of Identification 1001F.. Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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