HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:- 1 F(6 1 - 6 to L43
SCANNED
Building Permit Application BY
Planning and Development Services St Lucie COUTItY JAN 2 *6 2018
Building and Code Regulation Division �1
2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
REPLACEMENT OF ? WINDOWS 0 DOORS
S (IMPACT).
1- t-OklON INFORMATION: lk0't-fr",
AcIclitional work to be nertormed under this permit —check al apply:
11HVAC Gas Tank E] Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing OSprinklers Generator Roof ' Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 12,900.00
1. S Ft. f First Floor:
Utilities:cn Sewer OSeptic Building Height:
OWNER/LESSEE:.-CONTRACTOR,
Name Judith Lukas/Douglas Wright
Name: ALPHONSE CAMPANELLI
Company: STORM TIGHT WINDOWS INC.
Address: 5829 Little River Rd
City: Kingston State: NH
Address: 500 SW 12TH AVENUE
Zip Code: 03848 Fax:
City: DEERFIELD BEACH State: FL
Phone No. 772-882-6707
Zip Code: 33442 Fax:
Phone No. 561-420-0271
E-Mail:
Fill in fee simple Title Holder on next page if different
E-Mail: MPOSEY@STORMTIGHTWINDOWS.COM
from the Owner listed above)
State or County License: CRC046091
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
9
DESIGNER/ENGINEER: _
Not Applicable
Name:
Address: 2264 SE Trillo St Port St Lucie, FL 34952
City:
State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _
Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
UVVIVtK/ LUIV I KAL I UK Art'IUV 1 I : Application is nereoy maoe to ooLain a permit Lo oo Lne worK ana Instal i idLiun d� Inu R.dLCu.
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 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 exempt1from 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
commencing work or recording your Notice olf Commencement.
po(dC"
of OwnelJJ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Za uQas L COUNTY OF &d_
The forgoing instrument was acknowledged before me
this day of �CLhuQ.XN 200 by
0 uC�a.a I A) r I Qla
Name 6f person making statement
Personally Known OR Produced Identification ✓
Type of Identification
PXu
ced t✓� L NotaryPublic State of Florida
--Mara Posey
My Commission GG 169457
n _ n _ ,a,,d� Expires 12/19/2021
Public -State of Florida )
Commission No. 1 G 1(c1L r-o1 (Seal)
The forgoing instrument was acknowledged before me
this lik day of 20 ik by
Name of perssonr�la king statement
Personally Known V OR Produced Identification
oTwe of Identification
otary Public State of Florida
Mara Posey
7 - • My Commission GG 169457
Expires 12119/2021
(Signaure of NotaWPublic- State of Florida )
Commission No.66 1 b q51 (Seal)
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Rev. 8/2/17