HomeMy WebLinkAboutBUILDNG PERMIT APPlicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ll Permit Number:
\ 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: 3054 NW Radcliffe WAY Palm City, FL 34990
Property Tax ID 0: 4425-703-0020-000-1 Lot No. 15
Site Plan Name: Rocco Mango Block No.
Project Name: Rocco Mango
DETAILED DESCRIPTION OF WORK:
Installation of hurricane protection products on (2) openings
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 XShutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 11, 2.0. DO
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height: ZZ_
OWNER/LESSEE:
CONTRACTOR:
Name Rocco Mango
Name: Noreen Rayner
Address: 3054 NW Radcliffe WAY
Company: Storm Smart of Southeast FL
City:. palm City, State: FL
Zip Code: 34990 Fax:
Phone No. (772) 485-2940
Address: 4047 Okeechobee Blvd Suite 106
City: West Palm Beach State: FL
Zip Code: 33409 Fax: (844) 330-8277
Phone No (561) 229-0048
E-Mail: kenteardogyahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permitting9stormsmartse.com
State or County License CRC1332755
It value of construction a 25W or more, a RECORDED Notice at commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_X_ Not Applicable
MORTGAGE COMPANY:
Name:
,X_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVTT: 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 pens it 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 recordina Your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner
Sign reoF Contract /Ucense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_ St. Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (ar affirmed) and subscribed before me of
Physical Presence or X Online Notarization
X Physical Presence or Online Notarization
this 8 dayof as>U7 2020 by
this 24dayof August .2020 by
Rocco Mango
Noreen Rayner
Name of person making statement.
Name of Person making statement.
Personally Known X OR Produced identification_
Personally Known X OR Produced Identification__
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary�N Igora%IsslonMGG29072�2
(Signature of Notary Public -Slat P arNtl )
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CpmmisslonaGG 2901
Ir z January 13,2023
Commission No. sP e�aoaaa�Ysnkw
Commission No. lSeEfliles January 13,202
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