HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� Permit Number: \60 a-Q)1 la
REM'.' :D FEB 0 81016
-- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: as iv
PRt P05`ED 11111 PROVEN ENT I:ECATIiN. ': A
Address: 3450 Sunrise Blvd,Fort Pierce, FL 34982
Legal Description: SUNRISE HOMESITES S/D
Property Tax ID#:2428-702-0044-000-5 Lot No.3
Site Plan Name: Block No.3
Project Name:Vanessa Tillman
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCR)PT)ON fF 1tUQRK. T
Replacement of windows doors
CONSTRUCTI{ N INFORMATION r y
k
Add
itiona wor obAnertormed under tis permit-c ec all appy:
OHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers E]Generator E]Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3667.00 Utilities:11Sewer Septic Building Height:
OVtrNLESS`EE. R.
. ., _-
°�� CONTR
ERACTE3
Name Vanessa Tillman Name:Alphonse P. Campanelli
Address: 3450 Sunrise Blvd Company:Storm Tight Windows,Inc.
City: Fort Pierce - State: FL Address:500 SW 12th Ave
Zip Code: 34982 Fax: City:Deerfield Beach State:FL
Phone No. 772-359-1531 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(&,,outlook.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.
IPPj.EMENTAL CONSTRUCTIQN LIEN LAW. INFORMATION.
RI _ pp MORTGAGE COMPANY: m. li .
DESIGNE ENGINEER: Not Applicable 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.
ig�aatGre.ofi7tivne_f Agerit/tes,,ee Signature of Contractor/License Holder
1 ,> : .
STATE OF FLORWASTATE OF FLORIBDA
COUNTY OF C\V �c�y\ \ Cao COUNTY OF
The forgoing instru t was acknowledged before me The fol�oing instru was acknowledged before me
this, day of 20 1-4
by this y day of ,20�oby
VGn e ssL I rnC'c.r�N11;
me of person acknowledging) {Na of person acknowledging)
(Sign ur of Notary Pub -Fte of Florida} {Sigt re of Notary •
Pu c- ate of Florida}
Personally Known OR Produced Identification Personally Known 0}tk, � n
Type of Identification Produced Type of Identificationion Rr ANGELA 1
= - _*_ om . 2016
ff ~•ANGELA :Insum=
O =a. „o ExpireNT Y�b �ncas9o3ssaals
Commission No. j .,�o -'Y%;. Commission No.
*.Ln �.ommission 187663 6ordeaTh
Expires May16
•,.f j,w — ,ru Troy Fe800.385.7019
o.Yl:<<Z`r:_x'.:•1:..5;�Rrfi+.!s
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS