HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O
P EE, n ° L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 583(ODREAM CT#,��° )4
Property Tax ID#: 3410-507-0133-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE WINDOWS WITH 6 VINYL FRAME INSULATED GLASS 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: Sq. Ft. of First Floor:
Cost of Construction: $ 5100.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJOHN & NOREEN RICCIOTTI Name:MATTHEW MARKS
Address:5836 DREAM CT. #34A Company:EAST COAST ALUMINUM
City: FORT PIERCE State:_ Address:913 EDWARDS RD.
Zip Code: _ Fax: City: FORT PIERCE _State:FL
Phone No.917-579-5644 Zip Code: 34982 Fax: 772-.464-7603
E-Mail: Phone No772-464-7600
Fill in fee simple Title Holder on next page ( if different E-Mail ECAPINC@HOTMAIL.COM
from the Owner listed above) State or County License24526
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:FLORIDA ALUMINUM ENGINEERING Name:
Address:5601 MARINER ST.#240 Address:
City: TAMPA State: FL City: State:
Zip: 33609 Phone813-374-2403 Zip: Phone:
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.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST 4uCJE COUNTY OF Sn LuctE
Sworn (or affirmed) and subscribed before me of Sw rye to(or affirmed) and subscribed before me of
L-fhysical Presence or Online Notarization c/Phy,ical Presence or Online Notarization
this�fday of F�6�u�M-X 2021 by this12• day of A&6&6tAQ.P' 2021 by
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Name of person making statement. Name of person making statement.
Personally Known Cl--*' _OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced p Produced�
(Signature of Notary Public-Stag pfY ricfy- (Signature of Notary Public-State of F rida hUTH HOLMAN
NOTARY PUBLIC t
�m
Commission No.(sGg ��a 7E OF FLORIDA 47 -NOTARY PUBLIC
?Con*GG97364� Commission No.GG 3G�/� VkrE OF FLORIDA
r 1 Ex ires 3/26/2024 Cow"GG973640
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE. MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2