HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED g
Date: I I-1' oti\ Permit Number:aC o 3
2Uc Lnl��1Ur11 �� RECEIVED
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``° Building Permit Application MAR17
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Planning and Development Services Permitting Da- rtment
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Building and Code Regulation Division Commercial Residen currty
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772) 462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROP05ED IIVlpFtaVE(11ENT.:LOCATION
Address: :5509 WINTER GARDEN PKWY
Property Tax ID#: 1301-614-0113-000-7 Lot No.
Site Plan Name: ,I t Z Block No.
Project Name: William W Clarke
DETAILED DSCRIPI"lON OF WORK
Replace existing windows with impact windows
New Electrical Meter Second Electrical Meter
:C(71VS,TRUCION:INFORMATION
Additional work to be performed under this permit—check all that apply: A/
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
_Electric —Plumbing —Sprinklers _Generator T_Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1-7 Utilities: —Sewer _Septic Building Height:
01NNERjLESSEE ' CONTRACTOR:,
Name Willia.m,W Clarke Name Alphonse Carrpanelli
' 5509 WingerGarden PKWY ' `CoKnpany , g
Address:: StormpTi fit Windows
Fort Pierce State:_ Ad dress:,;,.50:SW'012th Ave
Gty
Zrp eode:' Fax: City: Deerfield Beacli ! State: FL
Phone No. a7q�- �C7 Zip Code: 33442 Fax:
E-Mail: Phone No 561-420-0271
Fill in fee simple Title H Ider on next page(if different E-Mail������(irn1"��o(�
from the Owner listed above) State or County License CC131151799
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.
oPPLEMl N L CC}NSTRUCTIQN LIEN tAW fNFORMATIE>N
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: N/A Name: N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: N Address:
City: / City:
Zip: A 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 Co my and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with tef@hr or an attorney before commencing work or recording our Notice of Commencement.
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA1 STATE OF COUNTY OFORID �omJ
COUNTY OF )�� t
SV,orn to(or affirmed)and subscribed before me of S�of n to(or affirmed)and subscribed before me of
Physical Pre n ep Online Notarization 1� ysical Presencq or Online Notarization
this day of I j 2024 by this day of - 2021 by
W10k (Jad",
Name of person making statement. Name of person making stat ment.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identi tiIan Type of Identification
Pr duced Prod ced
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(Signa re of N tary Public- tat r ' LATANYAoorKIN ur ofV"yNoublic-S,6te F o
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�°• l `e Notary Public-State of Florida �i�+�r`•.• LA TANYA BOYKIN
Commission No. ', $efiQ1,,missionNHH041316 ;?° Public-State of Florida
, � �• Commission No. �d11��rryy
My Coinm.Expires Dec 20,.2024 =; tbmmission N HH 041316
Bondedthrm>ghNationalNotaryAssn. an,: My Comm.Expires Dec 20,202
Bonded through National Notary Assn
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