HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED
Date: Permit Number:
17 V� x.4.
`' ` 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)462-1579
PERMIT APPLICATION FORVindows/doors
PROPOSED IMPROVEMENT LOCATION:
Address: 752 E Coker Rd Fort Pierce,FL 34945
Property Tax ID#: 2309-333-001-000-4 _ — Lot No,_._.,_..,
Site Plan Name: Block No.
Project Name: French Window Storm Tight
DETAILED DESCRIPTION OF WORK:
Replace existing winodws/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 X Windows/Doors _Pond
Electric _Plumbing —Sprinklers _Generator � Roof Pitch
Total Sq. Ft of Construction: 5q. Ft. of First Floor:
Cost of Construction:$ 27,305.00 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Fredrick&Elizabeth French Name:Alphonse Campanella
Address:752 E Coker Rd Company:Storm Tight Windows
City: Fort Pierce State: FL Address-500 SW 12th Ave
Zip Code: 34945 Fax: City: Deerfield Beach State:FL
Phone No. 407-564-1800 Zip Code: 33442 Fax:
E-Mails Phone No 407-564-1800
Fill in fee simple Title Holder on next page(if different E-Mail storrnti ht@teamk5,com
from the Owner listed above) State or County License CRC046091
If value of construction is 2SQ0 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY : X Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State :
Zlp: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDERI 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.
SC Lucie Counri makes no represer�tation that Is granting a permit will authorize the permit holder to build the subject structure
which is In conflict with any applica le Home Owners Association rules, bylaws r and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your reed 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, wails, 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 commencin work or re��c/o�rdin our Notice of Commencement.
Signal e_ofOwner/ Lessee/Con•Fractoras Agent for Owner Signature of contractor/Licensees der o
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STATE OF FLORIDA STATE OF FLORIDA
a°� h'� COUNTY OF St Lucie COUNTY OF Palm Beach ri
y��g Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
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° 4 . ;F X Physical Presence or Online Notarization X Physical Presence or Online Notarization
M o this 5 day of _ �y 12020 by this 5 day of M0.V _ 2020 by v
C ALP Name of person making statement. Name of person making statement, ty d
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"off ' B Personally Known OR Produced Identification X Personally Known X OR Produced Identification
N Type of Identification Type of Identification
^� ,°�� Produced Driver's License Produced
(Sign(A4re of Notary Publllcc- State of Florida ) (Signature Notary Public- State of Florida )
Commission No.l7 oZv't-1 1 (seal) Commission No. ao 1 I tp (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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