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HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7 Date: 7.24.2020 Permit Number: Z ooq ©� • 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 PERMIT APPLICATION FOR: Window/door PROPOSED;I.MP,ROVENiENT_LOC'ATION - Address: 13207 S Indian River Drive Legal Description: 93741 BEG AT PT ON WILY RNYGF IND RIV DR1420 FT SLY OF N BDRY OF SEC 9,TH RUN SWLY 150FT,TH NWLY70FT,TH SWLY 540 FTMIL TO ELY RANFEC RR.TH SELY ALO SG RM1Y]pi FT LLL.TN NELY n WffN N LI At10]OB FTSLY AS YEAS AT Ri ANG�R LLLTH NYILY 1p FT.TN NLLY],B FT LIIL TO NM1Y BANNOF iN0 RN.TN MEANDERING s0 PN NYlLY lm FTYlL TC Pf LYG NEIYOF POO TN SWLY BO Fi LLiTO PoBIESS SR Y01- Property Tax ID#: 4509-120-0012-000-0 Lot No. i Site Plan Name: Block No. Project Name: Windows Setbacks Front Back: Right Side: Left Side: I , DETAILED 0ESC.RIPTION+'OF IWORK REPLACEMENT OF WINDOWS (IMPACT) ; 'I CONS,-IR i iION�INFORMATI%. Additional work to be Derformed under this permit—check all that apply: 11HVAC Gas Tank ElGas Piping _Shutters Q Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 16000.00 Utilities:Sewer Septic Building Height: WNER/LESSEE._ CONTRACT ;O OR• i + _. - - - - ------ - - - - Name Audry Rollins Name: Alphonse Campanelli Address:13207 S Indian River DR FL Company: STORM TIGHT WINDOWS j City: Jensen Beach State: FL Address: 500 SW 12 Avenue it Zip Code: 34957 Fax: City: Deerfield Beach State:FL Phone No.(804)513-8777 Zip Code: 33442 Fax: E-Mail: Phone No. 561-420-0471 ; Fill in fee simple Title Holder Winext page(if different E-Mail: stormtightpermits@outlook.com from the Owner listed aboi e) State or County License: CRC-046-091 If value of construction is$2560 or more,a RECORDED Notice of Commencement is required. i I I � i S PPLEMENTA�L CONS,;tiRU iION;.LIEN LAW"INFORM�ITIO;N DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable N am e:Audry Rollins Na m e•Alphonse Campanelli Address:13207 S Indian River Drive Address: 13207 S Indian River DR FL City: Jensen Beach State: FL City: Deerfield Beach State: FL Zip: Phone Zip: 33442 Phone:551.a20.o271 .I FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:500 SW 12 Avenue 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 jobsite before the first inspection. If you intend to obtain financing,consult with lender or an attorney before commencing Wrk or recciX4ing your Notice of Commencement. Sig re 6f Own /Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLOAtDA STATE OF FLOQRRM / COUNTYOFJrJ'l L �ih- COUNTY OF _bW ,�y/ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge efore me this` � day of 20_ by this day of 202uu by j dl-4- (Z4 fill,440w5ef e'll,, NalIne of person making statement / Name of person akin statement Personally Known OR Produced Identification[/ Per onally Known OR Produced Identification Type of Identification / / Type of Identification Produced /� �/�_ o(�ctC_i Produced ,�llnuuuu„fj� 10 Ignature Notary Public to of Frridg� s 'per: ignat Notary P i St a of Floric�a�j� gE , A. j '%•,�� ✓ur, F,S ComNo. o2(Sal) 0,7i, y : ss' n No. �F(S�o 1�0NMtrrM�b�S,'•.Op Oa1-0 m .O 1 4 71 0� coo r��� ron as ,��� 2 •,,� 7Z?0 rD I. REVIEWS FRONT ZONING'S'%,, 'R PLANS VEGETATION SEA TUI �'• jl�f� V COUNTER REVIEW �' 1RL4NPW REVIEW REVIEW REVIEW' FfE 18(�a,��o'�` DATE RECEIVED DATE COMPLETED Rev.8/2/17 - I i I