HomeMy WebLinkAboutBuilding Permit Application All APPLICAB E INFO MUST BE COMPLETEDFOR APPLICATION TO BE ACCEPTED
Date: a� a� Permit Numb r::
91ro L�1C�DL
AUG 26 23 0
C) ST. Lucie County, Permitting
R, . ° 77 _Y . Building Permit Application
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 210 Ramie LN Port Saint Lucie, FL 34952
Property Tax ID#: 3419-515-0077-000-6 Lot No. 13
Site Plan Name: RIVER PARK-UNIT 3-BLK 22 LOT 13(MAP 34/22S) Block No. 22
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 10 IMPACT WINDOWS
New Electrical Meter Second Electrical Meter
T
CONSTRUCTION INFORMATION:
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:$ 25642.00 Utilities: —Sewer _Septic Building Height:.
OWNERAESSEE: CONTRACTOR:
Name PAUL&CONNIE HENNINGS Name:ALPHONSE CAMPANELLIE
Address:210 Ramie LN Company:STORM TGHT WINGOWS
City: Port Saint Lucie State:_ Address:500 SW 12TH AVE
Zip Code: 34952 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 H Ider 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.
SUWMEN�TAL CONSTRUCTION LIEN LAW INFORMATION,
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
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.
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Signature of Owner/Lessee/Contrcfctor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /=J t_jC& -L IC�.I °r( COUNTY OF
Sworr>.to(or affirmed)and subscribed before me of Sworgto(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of_SJ c,,�-jam 2020 by this JS day of 2020 by �n
f � sC&11 hl�
Name'of pe on making statement. Name of peVi4n making statement.
Personally Known_k�_OR Produced Identification Personally Known—kL OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ture of N y Public-State of Florida•)GOPTJsi0 = (Sig a of Notar Iic- ete gf'F8u r '• !<`0''.,
Number 2 t9 •,
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