HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 /08/2021
Permit Number:
g4 WC UIS
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:Aluminum Specialty Permit -Fill In
PROPOSED IMPROVEMENT LOCATION:
Address: 6672 Campanilla Fort Pierce, FL. 34951
Property Tax ID #: 1306-500-0244-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.14
Block No. 53
"In -Fill" front entry with new white aluminum, new 20/20 no -see -um screen and a new white screen door. Front entry
has an existing roof and concrete slab
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: 117
Cost of Construction: $ 1340.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Esther M. Noriega
Name:Keith Hommer
Address: 6672 Campanilla
Company: Boca's Finest Screening, Inc. DBA LPL Screening
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.352-708-1970
Address:4808 Regina Drive
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No772-359-9426
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail bocasfinestscreening@gmail.com
State or County License 30351
-.-� �•-�••�••-�••�•• .� a ncwnvcu IVVLMc vl a.umrnencemem is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: - Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 lanrlpr nr nn attnrnpv hpfnrp rnmmpnrine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature df Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF J -• Le oGi a
COUNTY OF Z54-; 1,L1 p
Sworn to (or affirmed) and subscribed before me of
S?vorn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Online Notarization
Physical Pre•- �nc�e�
this = day of 2024.by
�, � � 1�-�D/hrr�•e2
�or
this day of �Cldd�1Q,( 12020 by
C�� � �!i l�ln .o�i9f->ert
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
_X_
Type of Identification
Type of Identification
Produced
=roduce
(Signature of Notary Public- State of Flori )
(Signature of Notary Public- State of Florida
Commission No. �' �a^a( Me pass to or da
Commission No. .3 SEtry Public State of Flo
Y
j My commission GG 326515
�vrft
Deana M Dailey
tl� ExDire"
My commission GG 3265
ati
REVIEWS
FRONT
ZONING
S
PLANS
VEGETATION
SE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. Sybyw