HomeMy WebLinkAboutBuilding Permit ApplicationI11 WA
All APPLIICA$LE. INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I V o
P'Emy
O Qv-
-� OCT 1 3 .7:1
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and ,Code Regulation Division CO.IIIt`11ercial Residellti$ X
.2300 Virginia Avenue, :Fort Pierce Ft' 34982
Phone: (772_) 462-1553 Fax: (772) 462=1578 . .
PERMIT APPLICATION FOR-
windows/doors:
PROPOSED IMPROVEMENT'LOCATION::
Address: 5804.DEER RUN DR
PropertyTax ID #: 13137'502-0127-000-1 ;. Lot.No.550
Site Plan Name: Block No.
--ze
A.A.
Protect Name:
DETAILED DESCRIPTLON OF WORK: `
Replace existing windows/doors with impact
77
New Electrical Meter-" Second Electrica],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: $ Utilities: _.Sewer. _ Septic Building Height:
WIN
.. -
OWNER/LESSEE: ,
CONTRACTOR:,
Name a'a'"9 1 LLC,..
AI honse Cam anelli.. .
Name: p p
Address:5804 DEER RUN DR
Company:Storm Tight Winodws
City: Fort Pierce Stater
Address:500 SW 12th Ave
Zip.Code: 34951 Fax: f
City: Deerfield Beach State: FL
Phone No. 25� ?29ks
Zip Code: 33442 Fax.
E=Mail:
Phone N0561-420-0271
Fill in fee simple Title Ho:lder:on next page: (if* different
E-Mailstormtightpermits@outlook.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:
DESIGNER/ENGINEER: _ Not Applicable
-Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:' _ Not Applicable
Name:
Address:
City:
Zip: Phone..
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip:. Phone:
BONDING COMPANY: Not Applicable.
Name:
Address:
city:
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 issiiance.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.
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 inthe.public records of St.
Lucie County and posted on thejobsite before the first inspection. If you intend to obtain financing, consult
..::.with lender or an attornev before commencine work or recordine your Notice of Commencement.
Signature of Owner/ Le,ssee/Contract6f as Agent for Owner
Signature of Contractor/License Aolder
STATE OF FLOR
STATE OF FLORIDAr,�
COUNTY OF
,/
COUNTY OF 1 C.&
orn to (or affirmed) and subscribed before me of
Ph sicaI Prese ce or Online Notarization
Sw rn to (or affirmed) and subscribed before me of
P sical_Pre ce or Online Notarization
this day of , 202,E .by
this day of U--A-12024:by
A/Pyo l)f e CA MPA /V e
Name of person making statement.
Name of person making statement:.
Personally Known OR Produced Identification X
Personally Known 1C OR Produced. Identification
Type of Identifipatjo
Type of Identification "
Pro a ': r l—
rZ4
Pro ced. '
(Sign a of N t y Public- Staie
Sign r .of Notary Public-
LATANYADOYKIN
3 , Not a Public state of Florida:
Commission No. c� ��nllHH041316
tiµv"rj;••.,, LA TANYA BOYKIN
3 . 1 Not y Public - State of Florida
Commission No.
My Comm. Expires Dec 20, 2024„s
ea mmissiankHH04131b
My Comm. Expires Doc 20, 2024
„ns
Ilandml thrush National Notary Assn.
:
" ...•" Donded lhroulih National Notary Assn.
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