HomeMy WebLinkAboutPermit AppAll 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 x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: 616 Beach Ave
Address: 616 Beach Ave, Port St Lucie, FL 34952
Property Tax ID q: 3419-510-0114-000-3
Lot No.18
Site Plan Name:
Block No. 13
Project Name: Teresa Knorrston
DETAILED DESCRIPTION OF WORK:
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:
J
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
/! TT
_Pond
_Electric _Plumbing _Sprinklers _Generator Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
7 1
Cost of Construction: Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Teresa Knorrston Name:Alphonse Campanelli
Address: 616 Beach Ave Company: Storm Tight Windows
P Y:
City: Port St Lucie State: _ Address:500 SW 12th Ave
Zip Code: 34952 Fax: City: Deerfield Beach
State: FL
Phone No. Zip Code: 33442 Fax:
E-Mail: Phone No561-420-0271
Fill in fee simple Title Holder on next page ( if different E-Mail stormtightpermits@outlook.com
from the Owner listed above) State or County 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.
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 contlict 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 attornev before commencing work or recording vnur Nntira of r nmmanramant
-....................
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/LicenseHolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFemwam
COUNTY OFB—m
Stvgrn to (or affirmed) and subscribed before me of
to (or affirmed) and subscribed before me of
ysical Presence or Online Notarization
Physical Presence or _ Online Notarization
is t day of 2020 by
this _ day of 2020 by
y / C r-e s yiQ r r S / o n
Alphonse Campanella
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known 1 OR Produced Identification
Type of Identifi do
Type of Identification
P od ed
Pro ced
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VEGETATION
SEA TURTLE
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REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/o/2u