HomeMy WebLinkAboutVelardo Permit App 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 X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772 ) 462- 1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR :
PROPOSED IMPROVEMENT LOCATION :
Address: 7005 BAYARD RD . , FORT PIERCE , FL 34951
PropertyTax ID ft: 1301 -612-0261 -000-3 Lot No, 13
Site Plan Name: Block No. 129
Project Name: VELARDO
DETAILED DESCRIPTION OF WQRK:
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Replace existing windows/doors with impact.
New Electrical Meter Second Electrical Meter (Affidavit required)
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: Sq. Ft, of First Floor:
Cost of Construction : $ Utilities: _ Sewer _ Septic Building Height :
OWNER/LESSEE: CONTRACTOR :
Name Nicole K. Velardo Name: Alphonse P. Campanelli
Address: 7005 Bayard Rd. Company: Storm Tight Wndows
City: Fort Pierce State: FL Address : 500 SW 12th Ave.
Zip Code: 34951 Fax: City: Deerfield Beach State: FL
Phone No. (772) 418,6844 Zip Code: 33442 Fax:
E-Mall: Phone No (561 ) 420-0271
Fill in fee simple Title Holder on next page ( if different E-Mail stormtightpermits@out(ook,com
from the Owner listed above) State or County License CRC 046091
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 :
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 indicate.
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie County makes no represer�tatlon that Is granting a permit will authorize the permit holder to build the subject structure
which is in con lletwith any applica le Home Owners Association rules, bylaws or an 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 attorneybefore commencin work or recordin our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner lj/1 J�)e� YV SC . C00 Jgle'lPt fvPl'
STATE OF FLORIDq J l ���� ekrd
COUNTY OF Ihlw �(I
Swor to (or affirmed an subscribed before me of Physical Presence or Online Notarization
thisXdayof '.�fj�w 202 by Z�L�(tJ(j ZC� �
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Name of person making statement.
Personally Known OR Produced Identification x f`yYY�� � � K,YICt�I✓1
Type f Identification Pro yced
( igna ur of No ry Public- Staid of Florida )
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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