HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED aid Q.- G 110i
Date: Permit Number:�)'--)6-4tEMW0A
S-3`U. L.(U1 CcM FEB 0 7 2022
St. Luale oownty
U~' Building Permit Application Permllllnp
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
Address: 7168 Maidstone Dr, Port Saint Lucie, FL 34986
Property Tax lD #: 3322-505-0092-000-9 Lot No. 83
Site Plan Name: DlRocco Block No.
Project Name: DlRocco
existing windows/doors with
New Electrical Meter Second Electrical Meter (Affidavit required)
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:. $ V 4. O—U-0
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
OWNER%LESSEE e
CQNTRACTOR
Name Thomas & Mary L DiRocco
Name: Alphonse Campanelli
Address: 7168 Maidstone Dr
company: Storm Tight Windows
city: Port Saint Lucie state:
Address: 500 SW 12th Ave. -
Zip Code: 34986 , Fax:
city: Deerfield Beach State: FL
Phone No. (302) 743-3005
Zip Code: 33442 Fax: 754) 227-7891
E-mail: MLD.Mimit arnail.com
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 CONSTRUCTI N `UEN `
.LAVVINF�RMATION
_.._. _ .
UCa1%31VtK/CJMU11YCCK: _34- Not HpplicaDie MORTGAGE COMPANY•. J Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
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 1 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 commencinR work or recordinR vour Notice of Commencement.
, 44�i�
Signature of Owner/ Lessee/Con ractor as Agent for Owner
STATE OF FLORIDA
�_
COUNTY OF : �.
Sworn to (or affirmed)' -an^d subscribed before me of Physical Presence or Online Notarization
this 7 day of �1 r 20,-k-1by
MCv L 1PI n N cco
Name of Berson making statement.
Personally Known OR Produc did tification
Type of Identification Produced —
(Signature of Notary Public- Stat`e/ of rlorida )
Commission No. l t02 T O (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
MARGARITA S. PETERS
MY COMMISSION # HH 100248
EXPIRES, April 19, 2025
Bonded Thru Notary Public Underwriters
S REVIEWOR I REVIEW I EVI WON I S EVI,EWLE I "" EV EWVE