HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I
J WED
Building Permit Application FEB 0 4 1016
Planning and Development Services PEP,roITTING
St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fon`Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PRUPQSED [IVIRRQ1fEME(UT LQCATICI .
3 9 d
n� Address: Ocean Dr#567,Jensen Beach ,FL 34957
6 Legal Description: HOLIDAY OUT AT ST LUCIE-SEC 8 LK M LOT 1 AND EQUAL PRO-RATA INTEREST I
Property Tax ID#:4511-502-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name:Raymond Warren
Setbacks Front Back: Right Side: Left Side:
DETAI�.ED DESGRIPTIQN OF UItORK y Y v g h x
_;y'y R. �.......:... ....> _.., ra�s�^
i �
z
Replacement of 14 windows
CC?N5TRUCTIaN INFORI lAT1ON
...�
3F..
Additional wor toa er orme under this permit—c ec. a [napply:
OHVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
0 Electric ❑ Plumbing Sprinklers 0 Generator 0 Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction.$ 23770.00 UtilitiestSewer OSeptic Building Height:
�VI/NERjLESSEE. x NTRACTOR,
CO
Name Raymond Warren Name:Alphonse P. Campanelli
Address: 107525 S Ocean Dr#507 Company:Storm Tight Windows,Inc.
City: Jensen Beach State: FL Address:500 SW 12th Ave
Zip Code: 34957 Fax: City:Deerfield Beach State:FL
Phone No. 772-229-3658 Zip Code: 33441 Fax:561-292-3562
E-Mail: Phone No. 561-536-4387
Fill in fee simple Title Holder on next page( if different E-Mail: stormtightpermits(a),outlook.com
from the Owner listed above) State or County License: CRC046091
If value of construction is$2.500 or more,a RECORDED Notice of Commencement is required.
5l PPL EMENTAI.MENS ION,LIEN LAW lNFORMATIaN.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certifythat no work or installation has commenced priorto 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 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
commencing work or recording our Notice of Commencement.
if"�t/
w'"'nei r t ee Signature ot Contractor/License Holde
STATE OF FLORIDA \\ STATE OF FLORID�j
COUNTY OF C �l�l(Y-N COUNTY OF �Zl
The fo oing instrurt9ent was acknowledged,�efore me The fo oing inst ument was acknowledged before me
this � day of V 20 Eby this day of ten ,201Z�by
'��' "."'k k
rre n ll "
(N a of erson acknowledging) (Naof person acknowledging}
,1
(Sign to a of Notary Public Sta f F (Signto of Notary Publ -St to of Florida}
LA K.LiMPP0
Personal) Kno ne•A•°Y�% ��i��ati n Personally Know
Type of Identif. rddu ��May 17,
On
�0`1s Type of Identifica.iouo >JcMGELA K.LIMPPO
B'M-dThN7mYF� Commission; _
° . ; ,:o Expires May 17 �Q1�
Commission No..t; ;a. (Seal) Commission No. `"'
NTroyFainln LIA. 7019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS