HomeMy WebLinkAboutSIGEND BUILDING PERMIT APP-DEMELLAAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �- ' �� Permit
Number:
� `n LUC-
" 1 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential V
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 8725 Tom son Point RD
Property Tax ID #: 3327-704-0036-000--5 Lot No.
Site Plan Name: Block No.
Project Name: DeMella
DETAILED DESCRIPTION OF WORK:
BEPLACE-41 WINDOWS WITH IMPACT.
USING LIKE SIZES
NO STRUCTURAL CHANGES BEING MADE
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 Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 13.875 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael J DeMella LF EST Name: BRUCE M. TYRRELL JR.
Address:_872_5 Tea;san Paint RD Company.__KaMrell Windows & Door
city: Port Saint Lucie State: EL Address: 8200 SW LOST RIVER ROAD
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No. 617-548-1047 Zip Code: 34997 Fax: 772-288-6208
E-Mail: WDEMELLAO)COMCAST.NET Phone No 772-288-6205
Fill in fee simple Title Holder on next page ( if different E-Mail
from the Owner listed above) State or County License CGC061180
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 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 Associatlon 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 Commencement.
Si ature of Owner/ Less ontroEor as Agent for Owner
STATE OF FLORIDA
*'n
COUNTY OF
Sworn to (or affirmed and sub cribed bef re me of hysical Presence or Online Notarization
this day of rL toby
Tr -
t �cP W, 'Iaell
Name of person making statem nt.
Personally Known L--�OR Produced Identification
of Identification Pro aced
A nqA"'� -,
(Signs ure Of Notary Public- State of Florida )
Y'r� •.. SUSAN AARIE GODDARD
Commission No. (Seal);= Notary Public - State of Florida
Commission N HH 033062
E'�uryti .
My Comm. Expires Sep 25, 2024
Bonded through National Notary Assn,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
RECEIVED
DATE
COMPLETED
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