HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �)
Date: Permit Number: bu!M
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Building Permit Application
Planning and Development Services 03N30aH
Building and Code Regulation Division Commercial Residential V
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:windows/doors
.PROPOSED I'MPROVEMENT.LOCATIO'N:
Address: 7303 HIBISCUS RD
Property Tax ID#: 1301-605-0036-000-5 Lot No. 10
Site Plan Name: Block No. 41
Project Name: Sterling
DETAILED .DESCRIPTION OF WORK,-,--
Replace existing windows/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 Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 12)101 9Cl Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: _ '- CONTRACTOR:.`
Name Venecia Sterling Name:Alphonse Campanelli
Address:7303 Hibiscus RD Company:Storm Tight Windows
City: Fort Pierce State:_ Address:500 SW 12th Ave
Zip Code: 34951 Fax: City: Deerfield Beach State:FL
Phone No. g� �� �J Zip Code: 33442 Fax:
E-Mail: Phone No 561-420-0271
Fill in fee simple Title Hold r on next page(if different E-Mail stormtightpermits@outlook.com
from the Owner listed above) State or County License CRC046091
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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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: —No t Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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.
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
th lender or an attorney before commencing work or recording our Notice of Commencement.
gnature of Owner/Lessee/Cont—ra—c—to—r—a—sAgent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIna
COUNTY OF ��bo�J COUNTY OF I wat'
Sworn to(or affirmed)and subscribed before me of S o n to(or affirmed)and subscribed before me of
ysical Pre a or Online Notarization X Ph sical Pre a or Online Notarization
th' day of 2020, by this pday of �O 2026 by
Name of person making ement. Name of person making statement.
Personally Known OR Produced Identification Personally Known y OR Produced Identification
Type of Identification Type of Identification
Produced rt1pu PAded
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gn' a of N tary Public- .., a A rnNYAnonaN tur of Nota Public-St e f Florida)
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SlatcolFlorida �a4;µr„'/,.,, _
Itltl.rarq�tssion 11 HH 041716 ,„1� LA ANYA BOYNIN
Commission No. l�.., , e` P� B,ExpiresDec20,zB24 Commission No.
o M .`• N9;�@ali�lic-State of Florida
"" ItnndMt lhr ough National Nnluy Assn. .y�,,!¢ Lmmission d HH 041316
n'„•' My Lnnnn.Expires Dec 20,20'1.4
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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