HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 8821 ONE PUTT PL., PORT ST. LUCIE, FL. 34986
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 77 (OR 2413-2087:2805-1981)
Property Tax ID #: 3334-500-0088-000-0
Site Plan Name:
Project Name: 1SQhU_lyY1r I
Setbacks Front Back:
Right Side: Left Side:
Lot No. 77
Block No.
REMOVE/REPLACE WINDOWS a (3� ')!1'1C�'iCt,Lf,.f 'Vvndows.
HVAC Gas Tank ❑Gas Piping_ Shutters R1Windows/Doors
11 Electric F-1PlumbingSprinklers I Generator 0 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4,000 Utilities: o Sewer Septic Building Height:
NameJOSEPH SHREIBER
Address: 8821 ONE PUTT PL.
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 772-595-6090
E -Mail: 'j )SE Pi-P bl"t CC>M
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: DAVID LAPRADE
Companv: THE GLASS PROFESSIONALS
Address: 3570 SE DIXIE HWY
Roof pitch
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
E -Mail: PERM ITS.GLASSPROS@GMAIL.COM
State or County License: 19363
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: JOSEPH SHREIBER
Address: 8821 ONE PUTT PL., PORT ST. LUCIE, FL. 34986
City: PORT ST. LUCIE State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 3570 SE DIXIE HM
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: DAVID LAPRADE
Address: 8821 ONE PUTT PL.
City: STUART State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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.
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 wark or recording vour Notice of Commencement.
as Agent for Owner I Signature
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MCLY4 I n COUNTY OF M Q V+ I t'1
The forgoing instrument was acknowledged before me
this day of 2018 by
1 �Q o. `P—,
Name of person Ing statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of
V.
Commission No. 'Notary Public - Suite of f
loft
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ConmtisSW 0 FF 929255
REVIEWS
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The for oing instrument was acknowledge efore me
this day of MaU�� l 20 by
Name of person king statement
Personally Known OR Produced Identification
Type of Identification
Produced
Commission :� `'�= Notary Public - S ,1Florida
¢'• . » isselofl riN9255
My Corm. Expilvs Oct 20, 2019
OF
NOM ASSn.
REPLAV EW NS I V REVIEW
SEA EV EWLE M EVI WVE
0 CGI PW130
CGI ARCH TOP PW130 BACK OF HOUSE
O
CGI PW130
90" X 25"
0 CGI PW130
96" X 25"
CGI ARCH PW130
O 96" X 33" X 15" L
FRONT OF HOUSE
Project flame:
Schreiber Residence
8821 One Putt Place
St. Lucie County License No.: 19363
Scale: N.T.S
`/m L7&" l%c,
3570 S.E. Dixie Elwy - Stuart. i't 54997
OF
1
Port St. Lucie. fl. 54986
(772) 286-04S9 •9lG"P(0Ee"ionali@9mail.com