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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED G
Date: Permit Number: 1
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: Shutter
Address: 1203 Fleetwood Lane,Fort Pierce,FI 34982
Legal Description:
Property Tax ID#:3404-806-0014-000-4 Lot No.14
Site Plan Name: Block No.
Project Name:Jonathan Sharpe
Setbacks Front Back: Right Side: Left Side:
DETAI�.EDFDESCRIPTI�tUUF1lt1aRK `� Y ',` t� � � z,�, �-fx
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Replacement oft P windows doors Iy'
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�CC} ISTRl1sCTICiN IN Ft3RMAT10N , r
Adcl
t
itiona wor to a er orme under this permit—cIecl a_ appy:
HVAC 0 Gas Tank E]Gas' Piping _Shutters ❑Windows/Doors
11Electric El Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 24186.00 Utilities:11Sewer❑Septic Building Height:
x
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r�i,.
Name_Jonathan.Sharpe Name:Alphonse E:Campanelli;..
Address: 1203 Fleetwood Lane Coma Storm Tight Windows, Inc.
p y
City: Fort Pierce State: FIAddress
_ ,500 SW 12th Ave..; --Zip Code: 34982:, Fax: City:Deerfield Beach State:FL
Phone No, 772-293-9851 Zip Code: 33441 Fax:561-292-3562
E-Mail: Phone No. 561-536-4387
Fill in fee simple Title Halder 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.
5#U P,LEMENTAL CON-TRIlCTIQN LIEN;LAW INFORMATIQN ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable 's
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 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.
4+
Si ,at. a of Ownerj e &Lessee Signatur f ontractor/ icense H der
STATE OF COUNTY OF ��� COUNTSTATE OY OF FLORIDA
a
The forgoing instrum nt was acknowledged,before me The folgoing instr mer>�was acknowledged afore me
this day of 20 l y this (�day of { ,20 y
V 0-Na, r Ar 1 Dkfose C1 t,n, _
{Name of person acknowledging} (Name 6f pers n acknowledging)
"�_ 44z'-� . . nm- a9r, i:IA-413
(Sign re of Notary Puthlc45tate of Florida) {Signatur f otary Public-Statef lorida}
Personally Known 0R Pr ced ntification ✓ Personally Known ��OR Produced Identification
Type of Identification Type of Ide ILI&g
;- GELALIMPPO "•^ ANG�,gLIAgPP
Commission No. :t: commiss(r F988143 Commissio ,. =gym a#F 98B (Seal)
' o�,°:ExPires May 17,2020 `''.'o °Q`Oc:ExPIr®s M 143
„o`;k,•' BOMWThruTmYkln lnauranca 8003os-7019 F „•' E-andod ey 17,2020
�3�7019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS