HomeMy WebLinkAboutBuilding Permit Application FAll APPLI.CABL.E INE.0 MUST BE COMPLETED FOR APPLICATION TO B ACCEPTED
Dat.e: �e 13`a� Permlt.Number: �Rt�EfC/E ��Ce
JUN 0 3 2021
at,
.s- Building Permit A.pplication
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:Win Ws/doors
Pf CiPC3SED 1 PRQUEIVI �IT�LOCAT[�}I�l_:_
Address: 6751 DULCE REAL
Property Tax ID#: 1306-501-1135�000-2 Lot No.62
Site Plan Name: 8PANI8H LAKES FAIRWAYS Block No. 73
Project Name: Baumgard
DETA('LED:DESCR=fPTIOW.Of WORK -
Replace existing windows/doors with impact
New Electrical Meter Second Electrical.Meter
CONSTR ICTION�]'NFOR,MATION;:
Additional work to be perforrned 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:
NameGary K Baumgard & Barbara J Baumgard Name:Aiphonse Campanelli
Address:6751 DULCE REAL Company:Storm Tight Permits
City: Fort Pierce State: el'4'4z Address:500 SW 12th Ave
Zip Code: 34951 Fay: City: Deerfield Beach State:FL
Phone No. Zip Code: 33442 Fax
E-Mail /G.6,011 Phone NoSEiI- 20-4271
Fill in fee simple Title Holder on next page.(if different E-Mailstormtightpermits@outlook.com
from the Owner listed above) State or County License CRC046091
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SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION:
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.
to 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.
Signature of Owner/Lessee/Cofntractor as Agent for Owner Signature of Contractor/Licensd Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 61RORAR COUNTY OF &v�aicj
Sworn to(or affirmed)and bscribed before me of Swor o(or affirmed)and subscribed before me of
ysical Prese a or Online Notarization Physical Presence or Online N tarization
this C day of 2o2d by this 4 day of 1 2022 by
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Name of person making state1jent. Name of person making statement.
Personally Known OR Produced Identification X Personally Known Vst OR Produced Identification
Type of Identification Type of Identifi ation
Pro uced Produced
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Signatu a of-No pry Public-S (Signat a of No a �!%r tate of WO.
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Commission No. �5®afssionkHH04[316 Commission No. * EXpiresAug�g�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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