HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/08/18
Permit Number:
•
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 X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 780 E PRIMA VISTA BLVD
Legal Description: RIVER PARK -UNIT 3-BLK 28 LOT 3 (MAP 34/22S) (OR 3520-1415: 3653-1478)
Property Tax ID #: 3419-515-0192-000-8
Site Plan Name: RIVER PARK
Project Name: CARDRICHE RESIDENCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE (9) SINGLE HUNG IMPACT WINDOWS
Lot No. 3
Block No. 28
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit — check a appy:
HVAC Ei Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: .
Cost of Construction: $ 9,000
S Ft. of First Floor:
Utilities:Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EAST PRIMA VISTA LLC
Name: DAVID LAPRADE
Address: 2816 22ND ST
Company: THE GLASS PROFESSIONALS
City: VERO BEACH State: FL
Zip Code: 32960 Fax:
Phone No. 917-400-2094
Address: 3570 SE DIXIE HWY
City: STUART State:FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
E -Mail: DEN NISCARDRICHE@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: EAST PRIMA VISTA LLC
MORTGAGE COMPANY: _ Not Applicable
Name: DAVID LAPRADE
Address: 2816 22ND ST
City: STUART State:
Zip: Phone:
Address: 780 E PRIMA VISTA BLVD
City: VERO BEACH State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress: 3570 SE DIXIE HWY
Address:
City:
Zip: Phone:
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 thepermit 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
commenti,pwv erk or r_ecordine vour Notice of Commencement.,' r,; —
re of Owner/ Less ee/Cnntr`actor as Agent for Owner
STATE OF FLORIDA rffl I/ I STATE OF FLORIDA ��y I._j_'
COUNTY OF 11� %,(f COUNTY OF �C j i
The forgoing instrument s acknowledge�efore me
this _ day of 20 by
Name of pers making tatement
Personally Known OR Produced Identification
Type of Identification
Produced
9A7) l A� LL.� i G. j�`l �✓L����.
(Signature of Notary Public- State of Florida )
Commission No.C� I I 1 ( (Seal)
The fwtoing instrument as acknowledgebefore me
this day of tJ' 20 by
)aI'irl Laorale,
Name of pers n making statement
Personally Known OR Produced Identification
Type of Identification
f
(Signature of Notary ( Public- State of Florida 11
I �' I
Commission No ��� ! (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17 =o;; SARAMAESTAGMILLER ;a+o:' •. SARA MAE STAGMILLER
MY COMMISSION # GG 178571 ; ,. W COMMISSION # GG 178571
pa EXPIRES: January 24, 2022;�pAr: EXPIRES: January 24, 2022
••FoP ;°`` Bonded Tluu Notary Public Undenw111B18 .4K F4..�` Rnmod Tm, wtnr Pihl� I1nAanrrllnrn