HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: Permit Number:a\
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Building pp Permit Application St.Lucie County
Permitting
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: Window/Door
PROPOSED IMPROVEMENT LOCATION:
Address: 1708 York CT, Fort Pierce, FL 34982
Property Tax ID#: 2421-601-0021-000-7 Lot No. .1
Site Plan Name: MASI Block No. 3
Project Name: MASI
DETAILED DESCRIPTION OF WORK:,
REPLACE EXISTING WINDOWS/ WITH IMPACT.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
�c1 Sq.Ft.of First Floor:
Cost of Construction:$ /�/, 02 0 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Joshua R & Jessica A Masi Name: Alphonse Campanelli
Address: 1708 York CT Company: STORM TIGHT WINDOWS
city: Fort Pierce state: FL Address: .500 SW 12th Ave.
Zip Code: 34982 Fax: city: Deerfield Beach State: FL
Phone No. (772) 332-3754 Zip Code: 33442 Fax: (754)227-7891
E-Mail:_ JayG310@g mail.corn Phone No (561)420-0271
Fill in fee simple Title Holder on next page(if different E-Mail stormtightpermits@outlook.com
from the Owner listed above) State or County License CRC 046091
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 CONSTRUCTN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: _
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
i
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 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 attorney before commencing work or recording our Notice of Commencements
Signa Owner/Lessee/Contractor as Agent for Owner I FL
STATE 01 FLORIDA
COUNTY OF
Swor (or affirme )and ubscribed before me of Physical Presence or Online Notarization
this day of 2Q4 by
Name of person making st ement.
Personally Known making
Produced Identification
Type of Identifi i o�dcecl
(Signature ota Py lic-State of Florida)
v Puo HAI T.NrUYEN
Commission No. (Seal) ea '"''•��P COMM16510n#HH031127
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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