HomeMy WebLinkAboutScarpetti Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY 0 R I D A-
IF L
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMITTYPE: Replacement of Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 5210 Hickory Drive Fort Pierce, FL 34982
Property Tax ID q: 3402 608 0451 0005
Site Plan Name: Scarpetti
Project Name: Scarpetti
DETAILED DESCRIPTION OF WORK:
of Windows & Door with Impact
FL NOA 17-0918.09 FL NOA 29078.2
I CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,435
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael Scarpetti
Name: Jeffrey Walsh
Address: 5210 Hickory Drive
Company: Liberty Impact Windows & Doors Inc
City: Ft Pierce State:
Zip Code: 34982 Fax:
Phone No. 772.466-2518
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail info(&libertyimpactwindows.com
State or County License CGC 1528257
n vawe UT construction is >z�uv or more, a emwnueu notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 JOBBEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WTII V/�,A �Yn�A �Tr/�MGV �CC/xAG I�C/`/�MYI` V/x,1 Y/xTIE k p1YYC�,/`CYL•YT r
as Agent for Owner
STATE OF FLORIDA
COUNTY OF /I IG!*0
The If oing instrurRent was acknowledged before me
this I& 20_,X�by
%a JJA rsl�
Name of person mkking/statement.
Personally Known ✓ OR Produced Identification
Type of Identification
STATE OF FLORIDA
COUNTY OF /717A/ILA
The for oing instrum nt was acknowledged before me
this May of �u� 2Q.6 by
Name of person making%tatement.
Personally Known _ZOR Produced Identification
Type of Identification
-(Signature of Notary Phbfic'State FI Iq�) CHRISTINA FORT ($Ign ure of Notary Public Stat of ) CHRISTINA FORTIN
Notary Public - State o Florida NotaryPublic State of F
Commission No,669'&9J(4 Commission # GG 9 q67( f, y y mmissian # GG 9374
��� ) 2U ssion No t/ f(pp
h. My Comm. Expires Dec 5, iq ?o� n 'Comm. Expires Dec 5.
Bonded through National Not ry Assn. Bonded through National Notar
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