HomeMy WebLinkAboutWINDOW/DOOR INSTALLATION RESIDENTIAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date Permit Number: �C®1 a6713
RECEP;`1 AUL 01 ,M6
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: S;h�ittPtW j v
a � OoO,r•'
10 f3PQ5EQ I IVLPROVW ENT LOCATION
Address: 203 Jeffrey Ln,Fort Pierce,Fl 34982
Legal Description: CARDINAL GLEN LOT 12 (OR 329-1674)
Property Tax ID#: 2434-803-0012-000-1 Lot No.
Site Plan Name: Block No.
Project Name:Susan Noll
Setbacks Front Back: Rightside: Left Side:
DET,AILEQS DESCRIPTIC)N C?FVIIC)RK `f
:> xy k ayi
Replacement of windows doors
s
CONSTRUCTIQN FO
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x k
_ itiona wor to a er orme•„✓un er t is permit—check a appy:
❑HVAC �_Gas Tank Gas Piping MGenerator
ShuttersWindows Doors
p g Electric Plumbing Sprinklers Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 26350.00 UtilitiestSewer Septic Building Height:
�OSUI(NER/LE5SEE „ r C�NTRACl'ORury `
Name Susan Noll Name:Alphonse P:Campanelli-"
Address: 203 Jeffrey Ln Company:Storm Tight•Windows;Inc:
y: Fort Pierce _
Cit State: Fl Address:500-SW 12th Ave.
Zip Code: 34982 " Fak: - City:Deerfield Beach State:FL
Phone No. 772-466-1111 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.
SUPPLEMENTALCdNSTRUCTION LIEN,LAW,INF. 'RMATI4N.
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 holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat 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.
c
Si attire of Qw ';r„q¢'erit/'_L'essee 'r.
g Signatur f Contractor/License H94er
STATE OF FLORID STATE OF FLOROtC
COUNTY OF Y COUNTY OF ®zxu,
The forgoing!nstrment was acknowledged before me The forgoing instr merit was acknowledge before me
this c� day of 20�by this_`liay of ,20_Oby
Sy
me of person acknowledging) { e of rson ac nowledging)
{Si a ure of Notary P libk State of Florida) { ig at re of Notary Publ - ate of Florida}
Personally Known OR Produc d lion Personally Known OR Produced Identification
Type of Identificatio PPl,, Type of Identification Produced
Commisslrn�GFF�986143 ANGELALI.MPPO
Commission No. =* IresMaygl �0 Commission (Seal)
''%� °`''• liondodThtul7aY Un 1115=110Bpp�85.7919 3*; <-
FF 986143
P Expires May 17,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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