HomeMy WebLinkAboutMASTROMANACO APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-7 2!Q 21 Permit Number:
LL— rcaz
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: %I Se-Pli
PROPOSED IMPROVEMENT LOCATION:
Address: ,
PropertyTax ID #- A S ! 019/2. . rj—
Site Plan Name:
Project Name._
DETAILED DESCRIPTION OF WORK:
Cp
Furnish and install impact certified doors and windows at the attached locations
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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:
Cost of Construction
OWNERAESSEE:
�lj , PA,=11itlliL�lil'1r� ! � • lT���
• l iifi
M HFAMPTAWJ641
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Fill in fee simlfle Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
a.
Name: Joseph Labadte
Company -Central Window
Address.4388 U.S. Highway 1
City: Vero Beach State: FL
Zip Code: 32967 Fax: 772-562-8309
Phone No 772-562-8161
E-Mail Joe@centraiwindow.com
State or County License SCC131151288
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 Indicated.
I certify that ntoywork or installation has commenced prior totheissuance of a permit.
St.
is in County
tawith anrepresentation
applicab a HomeaOwnerstAsssociationi� will bylaws or and covenants that mays estrisubject
t o 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 attorney before commencing work or recording YeOr Notice of Commenepmpnt_
Si ture f Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLO
COON OF
Swor to {or affirmed) and subscribed beQi�t .N�rNq,'
h sical Pre�j��� o Onl' Ekp� •.,
this>�dayof_I���Q 12ige 20�3ems+
iYil�S�-YDf'crr ''
�Uame of person making statement. -k ; oGGs^`;
Personally Known OR ProduceType of cff�{$d�iDpi�*i_ye�n�c�
Produced Identification /iZ///' UBL 1
(Signature of IPtary Pubic- star f FkVicri )
ST
OF
Sw r o (or affirmed) and subscribed before me of
sical Presenc r Online Notarization
tNS day ofU 20by
4me"eVpersonA 7kistatement.
personally Known _ OR Produced
Id`e`n:da`pl•�.i`"�-1i
eofentirication
Produced ,.t2to6.M2
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�f 1 i1 r 1is11} 11t' . 4
ry Publid Sate of Flollc'
Commission No. (Seal) Commission No.
REVIEWS FRONT=REVIEW
SUPERVISOR PLANS VEGETATION SEATURTLE
COUNTERREVIEW REVIEW I REVIEW I REVIEW
DATE
REVIEW