HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /,
Date: )oZ• 0. Q SCABNNED Perm it Number: I IaZ- u 417
St. Lucie County
Building Permit Application ..
Planning and Development Services DEC 19 2017
Buildingand Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CommercialC cw L16 Residential �-
PERMIT APPLICATION FOR: Shutter m✓ae'T- IJew,.�ews £ iJoor4 S
Address: 3150 N AlA Unit 601-N, Fort Pierce, FL 34949
Legal Description:
Property TaxID #:1425-610-0024-000-5
Site Plan Name:
Project Name: Gordon J Phail
Setbacks Front Back:
Right Side: Left Side:
f DETAILED DESCRIPTION OF WORK
Replacement of 5 windows 4 doors Shy 1P� % i!%{ NOj�o au ic P 4700Ff N,
HVAC L_I Gas Tank UGas Piping
Electric ❑ Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 61,490
Lot No.
Block No.
aNPr.
Shutters Ln Windows/Doors
Generator ❑ Roof
S Ft. of First Floor: _
Utilities:cnSewer ❑Septic
Building Height:
DINNER/LESSEE t Y `t axs
.�ONTRAC'fOR
3 ,
Name Gordon J Phail
Name: Alphonse P. Campanellit
Address: 3150NA1A Unit601-N
f t
Compai
Address:500 SW 12th ave
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 772-530-9942
City: Deerfield Beach State:FL
Zip Code: 33441 Fax: 754-227-7891
Phone No. 561-420-0271
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: tmillerQstormtiahtwindows.com
State or County License- All"
/"
It value or construction a SZ500 or more, a RECORDED Notice or Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVV.INFORMATION,:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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
Signature of Owner/ Age t/ Lessee Signature of Contractor/License Holde
STATE OF FLO A STATE OF FL 1
COUNTY OF Jam{ Old C C� COUNTY OF �
Thefo�ing Instrruum�ntwas acknowledged before me The fo ing instrument was acknowledged before me
this 17• day of 4 i2Li . 20 by this day of;1�E"L , 20 by
61-fAw ?lea; \ A IPLIDA . Caffi"l
Name of person acknowledging [Narht of person acknowledging }
{Signature of Notary Public- State of Florida } (Signature of Notary Public- State of Florida )
Personally Known OR Produced Ide tific tin Personally Known " OR Produced Identificatlon
Type of Identification Produced �_�� Type of Identification Produced
Commission No.
TINA L. MILLER
TINA L t,
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