HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Windows/Doors
PROPOSED [NIPROVEMENT LOCATION
Address: 6706 DELAND AVE
Property Tax ID#: 1301-612-0085-000-5 Lot No.5 &6
Site Plan Name: Q ,9 W- k
o Vu 10 Block No. 122
Project Name: Ralph P Foster Jr& Patricia L Foster
DETAILED DESCRIPTION OF WORK:
Replace exiting windows/doors with impact
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: $ f Utilities: —Sewer —Septic Building Height:
QWNER/LESSEE CONTRACTOR
Name Ralph P Foster Jr& Patricia L Foster Name:Alphonse Campanelli
Address:6706 DELAND AVE Company:Storm Tight Permits
City: Fort Pierce Stated Address:500 SW 12th Ave
Zip Code: 34951 Fax: City: Deerfield Beach State:FL
Phone No. 2 Zip Code: 33442 Fax:
E-Mail: Phone N0561-420-0271
Fill in fee simple Title 11older on next page(if different E-Mail stormtightpermits a [,am
from the Owner listed above) State or County LicenseCRC046091
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.
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SUPPLEMENTAL CO T.R; CTI N LIEN-LAW. -INFORMlATIQN
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.
Inconsideration 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.
J�� e��7 a'1'1V2-*'---d.6 9 —
Signat a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License o der
STATE OF FLORIDA �����,� ,�y STATE OF FLORIDA
COUNTY OF B COUNTY OF /;
Sw rn to(or affirmed)and subscribed before me of SW9rn to(or affirmed)and subscribed before me of
sical Prese ce or Online N tarization Ph sitar Pres ce or Online Notarization
this day of l 202 ,by Ris day of 2$�9-by
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Name of person making statement. Nam of person making stat ment.
Personally Known OR Produced Identification Personally Known X/ OR Produced Identification
Type of Identif Type of Identification ation
Produce L —OL P odu ed
.t ,pre LATANYA{OYKIN
Notary Public-State of Florida
f Commission I HH 041316
Si na re of otary Publi -St a ofTIIl0 i�0 ghNational Notary Assn. Ig of Not y Public-St
;i ! LA TANYA 60YKIN
Notary Public-State of Florida
Commission No. (Seal) Commission No. ,�orn.. om#E'piresHDec20,12024
Ilnnded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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