HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO a\ BE COMPLETED FOR APPLICATION TO BE ACCEPTED I I O •—/�
Date: �tJ • .� Permit .Number*
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Building Permit Application -ryCounty, Permitting
Planning and Development Services
Building'andCode. Regulation Division COrrinlerda[. ReSidentW
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 6C6�VC
PERMIT AP.PLICOO. N FOR:Window/Door OCT 1.32
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PROPOSED IMPROVEMENT LOCATIfON: : o County, p2rmi
T. L'Jci
Address: 190. H.UBER:DRI FORT PIERCE; FL34946 .
Property Tax ID #.:. 1408-703-0023=00.0=0 Lot No. 24-26
Site. Plan Name: RIVERVIEW.MANOR BLKALOTS 23,24,25AND 26:(OR585-2373:720-2160,2168:1111-845W:1313-1907;2011-14% Block No. 'A
Project Name::'WALKER
DETAILED DESCRIPTION OF WORK:
Re lace'existin windows/doors with im � act:: b
New Electrical Meter :: Second Electrical Meter. (Affidavit: required)
CONSTRUCTION INFORMATION =
Additional: work to be performed underthispermit=check allthatapply:'--
_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 Susan &.James Walker.:
Name: Alphonse:Campanell •
Address: .190 Huber.Dr.,
'company: Storm Tight Windows
city: Fort Pierce StateFL
.
Address: 500: SW 12th Ave:::
Zip Code: 34946. , Fax:"
city: Deerfield Beach -State: FL
P.hon.e N.o. (772) 204-7353
zip Code: :33442 Fax:(754) 227-7891 . .
E-Mail: accuratepoolsspasCa_yahoo.coma
Phone No (:561) 420-0271
Fill in fee simple Title Holder on next page ( if different
a E-Mail stornitiohtpotmitsCc-D_outlook:com
State or County License CRC 046091
from -the -Owner listed above):.
If value of construction is 2500 or more, a: RECORDED Notice of Commencemenfls'required.
If value of HAVC is.$7.500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ti 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: of 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
with lender or an attQrnev before commencin>; work or recording vour Notice of Commencement.
Signature of 0 er/ Lessee/Contractor as Agent for OwnerSTATE OF �Q
COUNTY OF FLORIDA P I �Rlrnization
— ?�2Lov) CAJ ro xv, V
Swo t (or affir d) a d subscribed before me of VPhysical Presence or
this day of 202A by pJ If1 ./.i. w,,
Name of person making statement.
Personally Known OR Produce ntification V
Type of Identification Produced
liy CnDWV)
(Signature of Notary Public- State of Florida )
1*ar rue
HAI T. NGUYEN
'
Commission No.
(Se p) *
Commisskin # HH 03712t
August 27, 2024
Ro• Ia1TANYAIOYKIN
`e NotaryPubNc - State of Florida
9
Expires � Cammissian 0 HH 041316
OFF�Oeoe
BondedThru6tMyetNoteryService9
NV atY'Camm. Expires Dec 20, 2024
bndel thrmgh Natl,mal Notary Assn.
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