HomeMy WebLinkAboutBuiding Permit Application 6-09-20ALL APPLICABLE' INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit.Number: 6 ` 61 y&
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• . . auat,u eda0 r 44 wjad
Budding Permit Application Drat s o runr
Planning and Development Services
Building and Code Regulation Division Q3AI303N
2300 Virginia,Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PGROPOSED}IIMPROUEMENT LOCATIONS
Address:R
_s- 10044 S Ocean DR Apt 401 Jensen Beach, FL 34957
Legal Description:: SEA WINDS CONDOMINIUM APT 401 (OR 3875-1923; 4001-2785)
Property Tax ID #: 4502-804-0025-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
REPLACEMENT OF 3 WINDOWS (IMPACT)
�'ONSTRUCTION`INFORM?A;IO�N� s:
muumvnai worK to oe perrormpa unaer ims permit — cneCK all Mal apply::
0HVAC Gas Tank [—]Gas Piping _ Shutters Windows/Doors
nElectric ElPlumbing Sprinklers lo Generator Roof Roof pitch
Total Sq. Ft of Construction:; S . Ft. of First Floor:
Cost of Construction: $:�' `�lQ Utilities: sewer Septic ' Building Height:
U _
` <11VNER%LESSEE w. F a
CONTRACTOR p try;
Name Gervacio J 136nz61ez
Name: Alphonse Campanelli
Address:10044. S.Ocean DR Apt 401 „ . ...
Company:; STORM TIGHT WINDOWS
City: PortSt Lucie State: FL
Address:.500 SW 12 Avenue
Zip Code: 34953 Fax:
City:. Deerfield Beach State: FL
Phone No. (305)898-7610
Zip Code: 33442 Fax:
E-Mail:
Phone No..561=420-0471
Fill in fee simple Title Holder o next page (if different
E-Mail: stormtightp6rmits@outlook.com
from the Owner listed above)
State or County License: CRC-046-091
IIm value or construction is >i5uu or more, a K. MUMMU Notice of Commencement is required. II
SUPPLEMENTAL`C NSTRU i_Y LION JJENAAW IINFORMA�TION
^
:DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: GervaeloJGonzelez
Name: AlphonseCampaneill '
Address: 10044 S Ocean DR Apt 401 Jensen Beach, FL 34957 .
Address: 10044 S Ocean DR Apt 401
City; Port St Lucie State:. FL
'Zip: Phone
City: Deerfield Beach State: FL
Zip: 33442 Phone:581.420.0271
FEE SIMPLE TITLE HOLDER:. — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 500 SW 12 Avenue
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.
U 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 aufhoriie thepermit 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult'with lender or an attorney before
comm eneine work or recordine wour. Notice of Commencement:
X:
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Signatuf a of Contracto-rIcIcense Holder
Signatur Owne ontractor as Agent for Owner
STATE, OF FLORIDA
STATE OF FLORIDA
COUNTY OF 's-i-. I, tlky 'e-
COUNTY OF , (imcy-t
The forgoing instrument was acknowledged before me
The forgoing instr�ent was -acknowledged before me
this �_ day of . Seu r� , 20.E by
this, 1— day of .s ma.. . 20�� by
ar__r3aL0o CbnZzCA, iC-i�
Name of -person making statement
�
Name of person makin statement .
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of tary Public- State of Florida)
(Signature of Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER ..
REVIEW
REVIEW
REVIEW.
... REVIEW
REVIEW
REVIEW
DATE
.RECEIVED!'
DATE
-COMPLETED
Rev: 8/2/17 .
AMY M. SKEEN
.►;"."; AMY M. SKEEN �'•"
s Nohaly Putilic - State of Rori++a Notary Public - of Florida -_up 124ACR(
My Comm, Expires March 21, Z23
My Comm, Expires March 21,