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HomeMy WebLinkAboutBuilding Permit ApplicationBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p� Date: Permit Number: V�� ` RECEIVED 13-11Uo WC JAN 0 5 2020 Permitting Department Building Permit Application St.Lucie County Planning and Development Services —\� Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMP�UEMENT L®CA�T Q'W z _ __ w Address: 2110 W BOOTHE DR Property Tax ID#: 2421-331-0005-000-1 Lot No. Site Plan Name: Block No. Project Name: Kim T Bolin Replace existing windows with impact windows G� New Electrical Meter Second Electrical Meter C®NS RUCTION;INF®RIVIATI©N R 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. Sq.Ft.of First Floor: Cost of Construction:$ -I ,-1 C1 2- - 00 Utilities: —Sewer _Septic Building Height: ®WNER/LESSEE. CiON1RAtJR Name Name: Alphonse Campanelli Address: 1 Company: Storm Tight Windows City: �r.1- 1 ci C�2 State: Address: 500 SW 12th Ave Zip Coder q q q �L Fax: / City: Deerfield Beach State: FL Phone No. l0 ( Zip Code: 33442 Fax: E-Mail: Phone No 561-420-0271 Fill in fee simple Tit a Holder on next page(if different E-Mail ' o from the Owner listed above) State or County Li nse c'LOr6 de 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. �SUPPLEMENTALCONS; RUCTION INFORMA LIEN�LAW TI(3RIN_ DESIGNER/ENGINEER: �it Not Applicable MORTGAGE COMPANY: ~ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: i 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/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA / COUNTY OF. S-/ X 6 COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Ph ical Presence or Online Notarization Phy ical Presence or Online Notarization this. aay of&gTr nfh,-r- 2020 by this_( daq of 2020 by Name of p son making statement. Nam of person making�ent. Personally Known OR Produced Identification(/ Personally Known OR Produced Identification Type of Identification Type of Identification Produced Ds-- k,C Produced _ Signat of Nota lic-State of Florio) . 'GO /,9. (sign of Nota lic-State of Floridan GO si0' a 1. to Number 02•, 3 : GNumber 2 Co mi ion No. gS*a7� �011gpgs C + sion No. Sal G114098 5 n z;a 8YP >,. - s z:a EXPIRES o ;o Junc 12RES ��: o�;o June 12 2021 r�Aarot •' REVIEWS FRONT ZONING PAEfSt�o�PLANS VEGETATION SEATURTLE COUNTER REVIEWj°,°°°` REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.