HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEM.701 JAN 19 7917
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
,PROPOSED IMPROVEMENT' QCATIdN
Address: 5309 pinetree drive,Fort Pierce,F134982
Legal Description: INDIAN RIVER ESTATES-UNIT 1- BLK4 LOTS 5
Property Tax ID#:3402-602-0158-000-3 Lot No.5
Site Plan Name: Block No.
Project Name:James or Amber Wetzel
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF V' 0
Replacement o/0 windows doors
CONSTRUCTICiN.tN FO,RMAT,ION .
_....
Additional work to (ever orme under tis permit—c ec a [napply:
HVAC L_J Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
DElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 14570.00 UtilitiestSewer Septic Building Height:
OLtUNERILESSEE CONTRACTOR .;
Name James or Amber Wetzel Name:Alphonse P. Campanelli
Address: 5309 pinetree drive Company: Storm Tight Windows,Inc.
City: Fort Pierce State: Fl Address:500 SW 12th Ave
Zip Code: 34982 Fax: City:Deerfield Beach State:FL
Phone No. 772-260-4123 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.
SUPPLEMENTAL•CONSTRUCTION LIEN LAIN INFORMATION:_ 4
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 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.
Si tore weer/A esse`e Signature bf Contractor/License l4older
STATE OF FLO STATE OF FLO
COUNTY OF �/`/k� COUNTY OF � GVh TCS
R:.e
The for oing instrumn�ent was ackngore me The forgoing instru ent was acknowJede' ,before me
this I day of V Grp >y this day of ., ,,>yy
Sh
S 5 a• 7
Na a of person ack wledging} t t' '� �. {N of person acknowledging} °�r'-` •
r
=i t:.•ry C:.���e•„eft,
(Sin ure of Notary Publi - tate of Florid".ra- (Sig6kure of Notary P 61b-State of Flori I,ro J
Personally Known OR Prod uc d Ident cation Personally Known OR Produced Iden if�ation
Type of Identification Produced p 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