HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �t
Date: ` \ °� Permit Number:
r ErvEu
�(1? 5'4,L D �� `J P..rmieti oepartment
Building Permit Application st. Ludecounty"
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
A 2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: �•\�\ dv�5
�WR SE[ {MP ROVE MENT LOCATION:
Address:_ 8508 SANTA CLARA BLVD 2
Property Tax ID#: - •- MUGr'C)LO ` -J Lot (q
No. Site Plan Name:
Block No. Project Name:
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:$ Utilities: —Sewer —Septic Building Height:
:OWNER/LESSEE CONTRACTOR:
Name Charles Sabo Name: Alphonse Campanelli
Address: 8508 SANTA CLARA BLVD 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: stormtightpermks@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 SCC131151799
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.
5UlRhEMENTALCONMUCTION.LIEN-LAW INFORMATION: .
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.
SiAQgWof Ow er/ essee/Contractor as Agent for Owner Sig ature of Contractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF CA COUNTY OF 3r
DlP.�o�
Swo to(or affirmed)and subscribed before me of Swor o(or affirmed)and subscribed before me of
Tysical Presen a or Online Notarization ysical Pres ce or Online Notarization
day of �828 by this day of 492a by
2ozl
Name of person making statement'— Na e 04,
erson making state ent.
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sig re o otar u',Rc'e-State ofW (signature State jA
�,° Al0 6N
&�EN
Commisslo H 037127 ���v!u 037129
Commission No.
* * ##eaa�� Commission No. *°' ' ° CommeSAug2q
15, °e xplres Au�jusf'2�,2024
9�pFf�OP\ Bonded Thru Budget Notary Services NON Q Bob mNBedgetNofarySw
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20