HomeMy WebLinkAboutBuilding Permit Application ,!570
ALL APPLICABL INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��` t /�
Permit Number: �J
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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: 4107 Smokey Pines Ct,Fort Pierce,F134951
Legal Description: HOLIDAY PINES S/D-PHASE III-LOT529
Property Tax ID#:1313-502-0106-000-8 Lot No.529
Site Plan Name: Block No.
Project Name:John or Debra Blair
Setbacks Front Back: Right Side: Left Side:
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QET ILED DESCRIPTION tF UUt3RK� x � ` ,_ r
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Replacement of q windows c9 doors
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Additional work toa ner orme d under this permit—check ay:
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HV AC _Gas Tank Gas in Shutters
❑Windows/Doors
❑ Piping
Electric ❑ Plumbing Sprinklers ❑Generator 11 Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 37013.00 Utilities:11Sewer Septic Building Height:
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Name John or Debra Blair Name:Alphonse P. Campanelli
Address: 4107 Smokey Pines Ct Company:Storm Tight Windows,Inc.
City: Fort Pierce State: Fl Address:500 SW 12th Ave
Zip Code. 34951 Fax: City:Deerfield Beach State:FL
Phone No. 772-465-4422 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 alcove) State or County License:CRC046091
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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.
Inconsideration 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.
a, RJIP 1 aw'6"-V
Signa�e:of-0w er/-Agent/-Lessee Signature of Contractor/License Holder
STATE OF FLO STATE OF FLORIDA
COUNTY OF � � COUNTY OF 1'G
The forgoing instrument was acknowledged b The fo oing instru was acknowledged before me
this day of y this day of
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{ e of persoa ,;, rle€i {Name of acl�trilY7e T�naTropFa?nlnsumrscs8003857019
(Sig at a of Notary u ic-State of Florida) {Signature of tary Public-Stat Florida
Personally Known OR ProdUrred Identification rh Personally Known�R Produced Identification
Type of Identification Produced _ �-- Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS