HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S � LLB C LL
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462.1578
PERMIT APPLICATION FOR:Windows/Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 2810 ESPLANADE
Property Tax ID 11: 2421-607.0016-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Tierney
I DETAILED DESCRIPTION OF WORK:
Replace existing windows/doors with Impact q
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 Winclows/Doors _ Pond
_Electric _Plumbing Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: 200 Sq. Ft, of First Floor:
Cost of Construction: $ 20,000.00 Utilities: _Sewer _Septic Building Height: _
OWNER/LESSEE: CONTRACTOR:
Name Mark Tierney Name:Alphonse Campanelli
Address:2810 ESPLANADE Company:Storm Ticghl Windows
City: Fort fierce State: FL Address:500 SW 12(h Ave
Zip Code: 34982 Fax: City: Deerfield Beach State:FL
Phone No. 407-564-1800 zip Code: 33442 Fax:
E-Mail: stormti ht@teamk5.com Phone No 407-564-1800
Fill in fee simple Title Holder on next page{if different E-Mail` stormtight@teamk5.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE R/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City;, t >
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Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Natte;...
Address: Address;
Cit
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Zfy'..,..� ,..� ..�... - � City:
p 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 arty applicable Home Owl}ers Association rules, bylaws or and covenants that may restrict or prohibit.such
structure. Please consult with your Home Owners Association and review your deer! for any restrictions which naay 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 cancurrency review:raonn 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 commencing work or recqrding our Notice of Commencement.
i elf�/l�le' I o
SignatureLAfl Lessee/contrac r as Agent for Owner Signatr e of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF sT LUCIE COUNTY OF ST LUCIE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this g day of emu.k 202t by this_day of 2020 by
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Nance of person making statement. Name of person making statement. o
Personally Known OR Produced Identific A 0 � Personally Known_��OR Produced Identifica o0 €�N
Type of Identification ro Type of Identification U 8 a
I Produced �L. Produced_ i2E-x
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(Sign ure of Notary Public-State of Florida) ; o (Sig re of Notary Public-State of Florida) ��y
Commission No �y� r (Seal) ' Commission No. (Seal) g
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE - -- l
COMPLETED i r
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