HomeMy WebLinkAboutPermit Application - GalloAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 6000 PETTICOAT PL
Property Tax ID #: 3410-503-0305-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE 4 WINDOWS WITH IMPACT WINDOWS
New Electrical Meter Second Electrical Meter
Residential X
Lot No.5
Block No. K
CONSTRUCTION INFORMATION: I
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: $ 3850.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameLOUIS GALLO
Name:MATTHEW MARKS
Address:6000 PETTICOAT PL.
Company: EAST COAST ALUMINUM PRODUCTS
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.945-829-8876
Address:913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailECAPINC@HOTMAIL.COM
State or County License24526
if value of construction is 2500 or more, a Kt:LUKUtU NOT Ice or LommencemenL is i cqun cu.
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:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone: -
State:
_Not Applicable
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 IPnrier nr an attornev before commencine work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF $T wcIE
COUNTY OF S7. C.uc i E
Swor o (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this ZLy J`day of /r xc to 2020 by
this ZY�' day of J'►gRC►► 2021 by
MATTINEW MAIZV_$
MATTlIEW MARKS
Name of person making statement.
Name of person making statement.
y OR Produced Identification
Personally Known V OR Produced Identification
Personally Known
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- St iNbTARY PUBLIC
(Signature of Notary Public- State 'daJUTH HOLMAN
STATE OF FLORIDA
NOTARY PUBLIC
Commission No. CsG11731V0 @ xnakGG9T3640
Commission No. 4;4 973G�ia TEOFFLORIDA
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Expires 3/26/2024
CorrxrrlF GG973640
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COUNTER
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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EAST COAST ALUMIfdi
PRODUCTS, INC.
913 Edwards Road
Fort Pierce, Ft 34932
(T72) 464-7640 283-51)`_ .
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