HomeMy WebLinkAboutPermit Application - PontrelliAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X
PERMIT APPLICATION FOR:WINDOWS
I PROPOSED IMPROVEMENT LOCATION:
Address: 5843 DREAM CT. UNIT 12C
Property Tax ID #: 3410-507-0047-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Residential
Lot No.
Block No. _
REPLACE WINDOWS WITH I VINYL FRAME INSULATED GLASS WINDOWS ) /r,,,�ezc-{ n„I u.) u
WITH EXISTING STORM PANELS
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1700.00
OWNERAESSEE:
Name DOROTHY PONTRELLI
A,.l,.lr,,,.5843 DREAM CT #12C
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: Sewer _ Septic Building Height:
City: FORT PIERCE State: —
Zip Code: 34982 Fax:
Dhnno nir, 772-466-7592
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
ni::m,-MATTHEW MARKS
Company: EAST COAST ALUMINUM
Address:913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone N0772-464-7600
E-Mail ECAPINC@HOTMAIL.COM
State or County License24526
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
QcrnRnrn Nntire of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address: 5601 MARINER ST. #240
City:
Zip: Phone:
State:
City: TAMPA State: FL
Zip: 33609 Phone813-374-2403
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
� _ _ mow.
.I, -A i �r Ilntinn me inriirntari
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby mace to 0EAdIII a Pt:fIilIIL <O UV vvv1„u„4 ,,,� u.•�-•� -- • - _____
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Please conlict sult withapplicable
oiurHlome Owners Association andiation reviewyour deed or any restricaws or and covenants tions which may arestrict or. prohibit such
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 commencin work or recording our Notice of Commencement.
4 �-" 41 - - �'- 4-
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,57. Litele COUNTY OF c'-T t acka
Swor o (or affirmed) and subscribed before me of Sworn° (or affirmed) and subscribed before me of
Physical Presence or Online Notarization +/Phyical Presence or Online Notarization
this day of F>~A"A-9Z 2020 by this 2s day of ff612uAVY _ 2020 by
MATTNIF-W MAkV-5 MA7-T14f-w MARKS
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Type of Identification
Produced Produced)
(Signature of Notary Public- State o a )RUTH HULMAN(Signature of Notary Public- State_
)NOTARY PUBLIC
NOTARY PUBLIC �
° TATE OF FLORIDA a TE OF FLORIDA
Commission No. r'G9730 4 o S,am�#GG973640 Commission No. G6 g 73 GG973640
qRTW y 9 Expires 3/26/2024 F-xplres 3/26/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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