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HomeMy WebLinkAboutBuilding Permit Application FAM�lPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 4A61i-6514 9ro CU1CDC -`` 71 RECEIVED 00,AMI'V : _ P PR 19 2021 Building Permit Application ,rmitti-ng Department Planning and Development Services St. LuCle Courty 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:WMOWS/Doors F PROPOSED{lt/(PROUEMENT=LOCATION. ddress: 8307 KENWOOD RD (Property Tax ID#: 1301-605-0319-000-3 Lot No.28 Site Plan Name: Block No. 53 Project Name: Darlene M Gordon & Everett A Irving DETAILED DESCRIPTION ;OFWORK: (Replace existing windows/doors with Impact New Electrical Meter Second Electrical Meter y s , CQNSTRUCTION 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: rI Cost of Construction:$ ► ` S Utilities: —Sewer _Septic Building Height: DOWNER LESSEE: - CONTRACTOR: Name Darlene M Gordon &.EverettA Irving Name:Alphonse Campanelli Address:8307 KENWOOD RD Company:Storm Tight Windows City: Fort Pierce State: i Address:500 SW 12th Ave Zip Code: 34951 Fax: City: Deerfield Beach State:FL Phone No. 7`72/ ?j�?� lF�2i Zip Code: 33442 Fax: E-Mail: Phone N0561-420-0271 Fill in fee simple Title golder on next page(if different E-Mail stormtightpermits@outlook.com from the Owner listed above) State or County LicenseCRC046091 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. i If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. i Sk1PPLEMENAL CONSTRUCTI N LIEN LAW INFORMATION ; _pr DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone 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. 1 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. Signature of Owner/Lessee/CG&actor as Agent for Owner Signature of Contractor/Licensg Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF .OW COUNTY OF ©c��U Swop to(or affirmed)and subscribed before me of Swo�i to(or affirmed)and subscribed before me of Physical Presenc r Online Notarization r` '� 9/ Physical Presence r Online Notarization this 1 day of ,2-0-�y-T—, e,'rC this day of .202f'by Q?..�zi � i, Name of person making statefin6rit. Name 4 person making st atement. Personally Known OR Produced Identification ersonally Known Produced Identification Type of Id tification Typ en i icatIon Produce Produced (S ature of N ary Public-State of Florida ) (Si tur of otary Public-State of Florida) o�,tir wB4 HAI T.NGUYEN - Al T.NGUYEN Commission No. ? ° Commis4@&"H03712t Commission No. �'`�.syPue`'� (�isslon#HH037127 N o� Expires August 27,2024 * * empires August 27,2o24 9l � edThtuBudgetNotetySeivioes ate. oe Servwes REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.