HomeMy WebLinkAboutBuilding Permit Application)F)1�( n I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�r I
Date: Permit Number: 4aab �, � l r
RECEIVED
FEB 2 3 2022
Building Permit Application
Planning and Development Services �9
Building and Code Regulation Division Commercial Reside 1 tial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: WINDOWS/DOORS
Address: 13525 S Indian River DR Jensen Beach, FL 34957 Ij V�_t-
PropertyTax ID #: 4509-804-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Frenzel #11756
REPLACE EXISTING WIND
New Electrical Meter
Second Electrical Meter
TIO'N':
Additional work to be performed under this permit —check all that apply: I
_Mechanical _ Gas Tank _ Gas Piping _ Shutters VWinddws/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
I
Cost of Construction: $ 10756.00 Utilities: —Sewer _ Septic Building Height:
I
OWNER/LESSEE:
CONTRACTOR:
r z
Name Noelle Frenzel
Address:13525 S Indian River DR
Name: ALPHONSE CAMPANELLI
Company: STORM TIGHT WINDOWS
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No._(�732)688-2090 E-
Address:500 SW 12TH 'Ave
City: DEERFIELD BEACH State: FL
Zip Code: 33442 Fax:
Phone No 561-420-02711
Mail: NOLIE2611a-MSN.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail. stormtightpermits@outlook.com
State or County License �9`}
'.
IIf value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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FEE SIMPLE TITLE HOLDER: 1 Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Applicable
fn1Anuyol rnlUTRArTr1R ArmnVIT- Annliratinn is herehv made to nhtnin a nermit 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF f4 , ( _k
/
Swo(or affirm d) nd subscribed before me of ✓
thisrro day of 20d.) by
Physical Presence or Online Notarization
1911 FHOA)'�'e C4m/4,47poe'M
Name of person making statement.
V
Personally Known OR Produced Identification
Type of Identification Produced
7M C(4"-h_
(Signature ol Notary Public- State of Florida)
No. Rft ICO2-%Seal)
MARGARITA& PETERS
Commission
MYCOMMISSION# HH 100248
= ; `,•'
�OF,F4'•'
EXPIRES: April 19, 2025
Bonded Thru Notary Public Underwriters
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