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Building Permit Application
OFFICE USE ONLY: DATE FILED: PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT.CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED INTO BE ACCEPTED D'e" _ PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING& CODE REGULATIONS DIVISION 2300 Virginia Avenuc Ft.Pierce,FL34982-5652 772-4624553- APPLICATION 72-462-1553APPLICATION for BUILDING PERMIT -CERTIFICATE ©f CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 7932 Links Way,Port Saint Lucie,FL 34986 2. PROJECT NAME: Cypress Point SITE PLAN NAME: Judi Hatton-Donaghey 3. PROPERTY TAX ID i/: 3327-709-0003-000-0 4. LEGAL DESCRIPTION(attach extra sheets ifnecessary): POT) 26 at the Reserve Phast IT, Cypress Point 5. PLAT BOOK 3176 6. PAGE NO. 1667 7. BLOCK NO. 8. LOT NO. 48 9. PARCEL SIZE(ACRES/SQ FT.): 0.22 LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY; Remove and replace existing Family Room window with Impact Resistant,white aluminum frame,gray tinted glass, by PGT Series HR701 with PW701 transom above. 11. SETBACKS(ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OF CONSTRUCTION(Check all apptopriate boxes) [ J NEW CONSTRUCTION [ ] EXPANSION/ADDITION INTERIOR RENOVATION [K] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER(SPECIFY) 13. DESCRIPTION,OF PROPOSED USE: One (1)window replacement 14. SQ.FT OF CONSTRUCTION: N/A 15. SF.FT Ist FLOOR: N/A 16. VALUE OF CONSTRUCTION: S CZ OCA�0 The value of construction is used to determine the amount of permit fees,to be assessed. St.Lucie County reserves the right to question and/or modify the_indicated value of construction'if'it is demonstrated that the;submitted.figures are not consistent with similar types of construction activities. If the valuc:is$2500 or more;a RECORDED Notice ofConrnrencement unusl be,submitted N%illr lbisapplication. SLCCDV Form No.:601-62 U11DXfED 6/25/09 OWNER INFORMATION NAME: Judi Hatton-Donaghey ADDRESS: 7932 Links Way CITY: Port Saint Lucie STATE: Florida ZIP: 33419 ! PHONE(DAYTIME): L_) Email: ihdance@aol.com IF THE FEE SIMPLE TITLEHOLDER(PROPERTY OWNER)IS DIFFERENT FROM THE OWNER LISTED ABOVE,PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: N/A ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): �) CONTRACTOR INFORMATION ST.of FL REG.CERT#: CGCO 12501 ST.LUCIE COUNTY CERT#: 28536 BUSINESS NAME: Sabatello Construction of Florida,Inc. QUALIFIERS NAME: Theodore P. Sabatello ADDRESS: 9002 Burma Road, Suite 100 CITY: Palm Beach Gardens STATE: Florida ZIP: 33403 PHONE(DAYTIME): 5 1 626-7600 FAXNO._ (561) 775 -9117 Email: Debbie@sabatellocompanies.com ARCHIT/ENGINEER: Aral Consulting Engineers,Inc. ADDRESS: 721 US Highway One,Suite 224 CITY: North Palm Beach STATE: Florida ZIP: 33409 PHONE(DAYTIME): 561 840-7422 BONDING COMPANY:-- --- N/A ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER: N/A ADDRESS: CITY: STATE: ZIP: I IMPORTANT NOTICE: When a permit is issued and it is not picked tip within 60 dans after notification Illi it will be voided and returned to you by mail. i I CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated,and to obtain a certificate of capacity, if applicable,for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all i work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING,SIGNS, WELLS,POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS,FENCES,ETC.,not otherwise included with this building permit application, i St.Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such _structure. PIease consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE 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 YOUR I LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ! COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT,'TITLE,AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT,YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. E �~ t t J "A 06 JER O CONT CTOR S NATME CONTRACTOR SIGNATURE STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Palm Beach COUNTY OF. Beach ' i The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this 10th day of April 20j_5_ , me this 10th day of April ,20 15 , i by- Tudi Hatton-Donaghey by Theodore P. Sabatello who is personally known or has produced who is petsonally known X or has produced Flor• Driver i e as identifea 'on. as identification. i Signature of Notary Signature of Not Commission No. ,•� Y o e Commis o Ye''•, DEBRA J.BROOKS(Seal) ;' DEB J� ROOKS ;.: i�Commission FF 083257 Commission#FF 083257 Expires April 15,2018 Expires April 15 2018 '•'� p 8mk�d Thu Troy Fein Inmemtce 800.385J019 '.Pi,,Q`• Bonded Thu Troy Fein but rmw 8063857019 NOTE: TWO(2)SIGNAT SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER,THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. i OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNEWBUILDER APPLICANTS. For specific histructions see appropriate peritnit checklist. i I