HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST Bi COMPLETED FOR APPLICATION TO BE ACCEPTED
Datez; �a3� 1w Permit Number: X66 �_O J 5
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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: Shu#gr- W�racw hod _ Gor
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Address: 10600 S Ocean Dr#402 ,Jensen ,F134957
Legal Description: UNIT402 AND UNDIV SHARE IN COMMON ELEME
Property Tax ID#:4511-517-0039-000-0 Lot No,402
Site Plan Name: Block No.
Project Name: Frederick or Waltra Maurer
Setbacks Front Back: Right Side: Left Side:
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QETAILEp,,DESCRIPTION C}F 1tUQRK• .;
Replacement of) windows doors
CC?NSTRUCTION INFORMATIt?IV `
Additional work toa er orme under tis permit—check a appy:
OHVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
0 Electric ❑ Plumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 33259.00 Utilities: Sewer Elseptic Building Height:
OVNNER LESSEE. R.
CONTRALTO
Name Frederick or Waltra Maurer Name:Alphonse P. Campanelli
Address: 10600 S Ocean Dr#402 Company:Storm Tight Windows, Inc.
City: Jensen State: Fl Address:500 SW 12th Ave
Zip Code: 34957 Fax: City:Deerfield Beach State:FL
Phone No. 772-285-5500 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$2500 or more,a RECORDED Notice of Commencement is required. Z�`(�
SUPPLEMENTAL Ct?NSTRUCTIQN LIEN LAIN INFQRMATIQN:
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.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF
COUNTY OF C�JG(. }FLORIM L STATE OFF M
COUNTY OF
The fr oing instr ent wa acknowledged before me The f oing instr m,�ent was acknowledge before me
this day of 20 Nby this day of Y 1 ,20_pby
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( of person acknowled 'r#j"rP % ANGELA K.LIMPPO ame of person a Irn j t
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Commission#EE 187663 P� 4 -.
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,, adThmTroyFain insurance 800-385-7019 A k' =r. o Expires May 17,2016
1, %,nded Tlw Troy Fain Insurance 800.385-7019
(Signalv
of Notary Public-'Skaof Florida} (S g ature of Nota 1 - a e o1 orida}
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
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Revised 07/15/2014
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