HomeMy WebLinkAboutBuilding Permit Application All AP �CA�LE I;F�D MUS BE COMPLETED FOR APPLICATION TO BE ACCEPTED / �2
ate, o ` t Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34382
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT-APPLICATION FOR: Shutter
PR ?PQSER IIUfRt�VEMENT LQCAT1tN:` a r E
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Address: 220 Ramie Lane,Port St Lucie,Fl 34952
Legal Descri ption: River Park unit 2 Bl 22 lot 9
Property Tax I D#:3419-510-0326-000-2 Lot-No. 22
Site Plan Name: Block No.9
Project Name:Paul or Joann Breau
Setbacks Front Back: Right Side: Left Side:
DETAILEp DESCR)PTI(?N CSF" IL}RK' r�� �& a �� `
•pry $ —,� a r Y.�� .�. erg
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Replacement of 16windows Q doors —
CC#[�STRUCTIi�I 1NF�RMAT)ON ry
HVAC Gas Tank Gas Piping _Shutters Win
Additional workto ever orme un er t is permit—c ec a appy:
ILJI ❑ p g ❑ doves/Doors
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 22582.00 Utilities:11Sewer❑Septic Building Height:
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C}�IIINERjLE�S ,.� a = Gi �TRAG1 G tr kW v s �� '
Name Paul or Joann Breau Name:Alphonse P. Campanelli
Address: 220 Ramie Lane Company:Storm Tight Windows,Inc.
City: Port St Lucie State: Fl Address:500 SW 12th Ave
Zip Code:-34952 Fax: City:Deerfield Beacli State:FL
Phone No. 843-901-1199 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(aoutlook.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.
1 PLEMEN3'1L 3N5T1 tJCTIQN Ll N lA1tU INFC`11 ION"",
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 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 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.
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Sieafure of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF VSTATE OF FLORH�&
ti (Y\� I
COUNTY OF J1 COUNTY OF J
The forgoing instr ment wa acknowledged afore me The fQ,rgoing instyment w s acknowledge before me
this��day of 20 joby this day of )lL � ,20 y
M,erson acknowledging} (Na f person ack o
(Sig at re of Notary b ic-State of Florida) (Si a re of Notary ubf c-State of Florida}
Personally Known OR Produced Identificatio Personally Known OR Produced Identification
Type of Identification ProducedType of Identification Produced
y P ANG n#EE 18766 (
Commission No. :`� yB`'l = Cot ay 17,2016 7p19 Commission No. '�' AN �I LIMP
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Eac it ina �eaoa _; 1A Commission#EE 187663
•oFeQ•= gondedThNTroy Fain Expires May 17,2016
+�•.
Revised 07/15/2014
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