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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' • �! Permit Number: OCP O � RECEIVED 5 � FEB 0 9 1011 BuildingPermit A lication nn Permitting Department M 5C. Lucie County 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 IMPR01/EIV�ENT„LOCATION ` Address: 4104 Avenue R Property Tax ID#: 2406-114-00pp03 C -000-3 Lot No. Site Plan Name: in Gdn�g ` Block No. Project Name: Fred Dunn DETAtLED:=DESCRIPfION OF-WORK, Replace existing windows with impact windows 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 Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Q Sq. Ft. of First Floor: Cost of Construction:$ p - V Utilities: _Sewer _Septic Building Height: 1OWNER/LESSEE:;` w CONTRACTOR: 4 Name ai d1V1 Name: Alphonse Campanelli Address: U11 0 Lt .p1' Q-1n Company: Storm Tight Windows City: ( f State: rV 1.� Address: 500 SW 12th Ave Zip Code. Fax: City: Deerfield Beach State: FL Phone No. 561-420-0271 Zip Code: 33442 Fax: E-Mail: stormtightpermits@outlook.com Phone No 561-420-0271 Fill in fee simple Title Holder on next page(if different E-Mail stormtightpermits@outlook.com from the Owner listed above) State or County License SCC131151799 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. SUFPLEMENTALNSTRUCQCTIQ,N;LIEN LAW lNqRMATIC?N x..�.. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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. col�1�5 . 044e_� Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF ,,�,,e� COUNTY OF 5 �cf�_� c Sworn t (or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of sical Pr a or Online Notarization ✓h sical Presence or Online Notarization this day of es 2021 by this day of Eif b 2026 by Nam of person making statem nt. Name ooff person making statement. planar°rrrrr aalRUrrrrrrH ae��, Personally Known ✓ OR Produced�td� t�icP6 '°°��_ Personally Known OR Produced; i�tiFld�F Type of Identification '� Type of Identification �G '•••• p' . k. .'4 . <b MIS IS S Produced �OMISSI,' Produced a O� �O V Number Number �' CO GG114096 = _ :o GG114096 T• c .� EXPIRES '•it Si re of Notar P blic-State of yt �11fiet2 2o2t o (Si at of Notary lic-State of FF�ra` Junet2,2021�o;.a CO pssionNo. Q ""��galfuAaxP�,�t�`de�� Co mi ion No. Orr, /� I0l� "'� L� --C �i�tj'�rf r1rHi4 a*%�� s�tl1tf11i1/Aal�a�� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.