HomeMy WebLinkAboutBuilding Permit Application 6439
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: a'� a1 Permit Number:
RECEIVED
FFR 2 S 2021
Permitting Department
Building Permit Application St. 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:
PROPCiSED IMPRIflVNIENT LOCATION:'
x
Address: 6701 COQUINA AVE
Property Tax ID#: 1301-611-0320-000-2 Lot No. S-72
Site Plan Name: Nr,0S3A Tztkv — Cry,. q Block No.
Project Name: Marie Russell
()ETAILED.'DESCRIPTIO.t OF VDRK
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: Sq. Ft. of First Floor:
Cost of Construction:$ '�j Utilities: —Sewer —Septic Building Height:
OWNERfLLSEE ` r CONTRACTOR:
Name Marie Russell Debra Walker Edward Rainas III Name: Alphonse Campanelli
Address: Company:Coquina AVE Company: Storm Tight Windows
City: Fort Pierce, State Address: 500 SW 12th Ave
Zip Code: 34951 Fax: City: Deerfield Beach State: FL
Phone No. 561-420-0271 Zip Code: 33442 Fax:
E-Mail: stormtiehtpermits@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
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.
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SUPP,LEMEN,TAL CONSTRUCTION L#EN LAW I,NFORMATIQN
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.
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Signat re of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
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