HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: C>
RECEIVED
Tm, ILLT11 cots
MAR 3 0 2022
Building Permit Application St. Lucie County
Planning and Development Services Permittin
Building and Code Regulation Division
2300 Virginia Avenue, 'Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
C13DG Funding
PERMIT APPLICATION FOR: WINDOWS/DOORS
MP EMENT C 0
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PRO, ()�I ROV
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Residential
Address: 121 RIOMAR DR Port St Lucie, FL 34952
Property Tax lD#: 3419-515-0121-100-1 Lot No.
Site Plan Name. RIVER PARK -UNIT 3-BLK 24 LOT 16 (MAP 34/22S) Block No.
Project Name: McDaniel #11902
DETAILED D E
_-Y
Ve,
REPLACE EXISTING WINDOWSAW1 IMPACT
\d 'I' ^_ k �_� S
New Electrical Meter Second Electrical Meter (Affidavit required)
, � CONSTRUCTION INR, ATT,104:
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank Gas Piping Shutters \e/Windows/Doors Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: "74ft ilities: Sewer _ Septic Building Height:
Name Logan & Haley McDaniel
Address: 121 RIOMAR DR
City: Port Saint Lucie State: FL
Zip Code: 34952 — Fax:
Phone No. (303)803-6407 E-
ntail: MCDANIEL.LOGANO)GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: ALPHONSE CAMPANELLI
Company: STORM TIGHT WINDOWS
Address:500 SW 12TH Ave
City: DEERFIELD BEACH state: FL
Zip Code: 33442 — Fax:
Phone No 561-420-0271
E-mail stormtightpermits(cD-outlook.com
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.
DESIGNE
Name: _
Address:
City: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Ap
MORTGAGE COMPANY: V Not Applicable
Name:
Address:
State: City: State:
Zip: Phone:
V Not Applicable
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 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 attorney before commencing work or recording our Notice of Commencement.
(��61
' natu a of contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF �?E�ard
Swor (or afFrme and su scribed A/ P befgQre me of hysical Presence or Online Notarization
this day of r 20.2aby
A (P1)o Avs e_ CAW, / �') Ale, l /I
Name of person making sta ment.
Personally Known OR Produced Identification
Type of Identification Produced
1
( ignature f Notary Public- State of Florida)
UO���(Seal)
ot�"YPbs�"'• MARGARITAS. PETERS
Commission No.
;,.kc,,. MY COMMISSION it HH 100248
m'EXPIRES;April19,2025
''•FOF F��t `, gondod Thru Notary Pu61io Underwriters
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Rev 10/12/21