HomeMy WebLinkAboutAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0�. Lucnr
r p , f
13 E c IJI ° CO) L_\ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential i
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8002 Winter Garden PKWY
Property Tax ID #: 1301-605-0263-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Kristin Weatherington
DETAILED DESCRIPTION OF WORK:
Replace existing windows with impact wind
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters x Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ \lo 15 �t Utilities: —Sewer —Septic
Building Height:
Pond
Pitch
OWN ER/LESSEE:
CONTRACTOR:
Name Kristin Weatherington
Name: Alphonse Campanelli
Address: 8002 Winter Garden PKWY
Company: Storm Tight Windows
City: Fort Pierce State: _
Address: 500 SW 12th Ave
City: Deerfield Beach State: FL
Zip Code: 34951 Fax:
Phone No.
Zip Code: 33442 Fax:
E-Mail:
Phone No 561-420-0271
Fill in fee simple Title Holder on next page ( if different
E-Mail
State or County License SCC131151799
from the Owner listed above)
it value or consrrualon is zbuu or more, a KtcUKUtU Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not App
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zi p: Phone:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:_
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 attornev before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORI
COUNTY OF ni kf
Sworn to (or affirmed) and subscribed before me of
X Ph sical Pres ce or Online Notarization
this Vday of OLA 2020 by
W "fx(—r%s
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Prod ed
of Nota
0.
UIX-# ;'_— V') t dXy
of Contractor/License Holder
STATE OF FLORI��NOVd
COUNTY OF
Irn to (or affirmed) and subscribed before me of
P�ysical Pre= ce or Online Notarization
thisSc-1 day of 2021 by
Name'ot erson makin statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Nota
us.* LA TANYA IDYIf1N lA TANYA 00YI0N
I� Notary Publk ,.S�t.�tpof Fleriia Nobry mlic - S
Commission No. i" ; Commissl�w�tNN 1316 Commission No. onunfulonl r6w,
My Comm. Expires Dec 20, 2024 ., M1 . My Comm. Eaplres Dec 2D, 2024
Warded through National Notary Assn. 0onded through
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED