HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/17/18 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: 12807 NW CINNAMON WAY, PALM CITY FL 34990
Legal Description: CINNAMON VILLAGE HARBOUR RIDGE -PLAT 3- UNIT 3 (OR B1887-335)
Property Tax ID #: 4425-602-0015-000-3
Site Plan Name: CINNAMON VILLAGE
Project Name: BATES RESIDENCE
Lot No.
Block No.
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE FRONT ENTRY DOOR (PGT FD5555 IMPACT - NOA# 17-0504.05)
CONSTRUCTION INFORMATION:
Add itiona I work toe e orme under this permit— check a appy:
HVAC Ei Gas TankGas Piping _Shutters ZWindows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,500
SFt. of first Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHRISTOPHER BATES
Name: DAVID LAPRADE
Address: 12807 NW CINNAMON WAY
Company: THE GLASS PROFESSIONALS
City: PALM CITY State:FL
Zip Code: 34990 Fax:
Phone No. 772-214-6970
Address: 3570 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
E-Mail:CBHRYCC@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: PERMITS.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: CHRISTOPHER BATES
Address: 12807 NW CINNAMON WAY, PALM CITY FL 34990
MORTGAGE COMPANY: _ Not Applicable
Name: DAVID LAPRADE
Address: 12807 NW CINNAMON WAY
City: STUART State:
Zip: Phone:
City: PALM CITY State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 3570 SE DIXIE HWY
BONDING COMPANY: Not Applicable
Name:
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 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 r `in your paying twice for
improvements to your prope . A Notice of Commencement must be recor ed a d posted on the jobsite
before t fl"rsri%s a ion. yc�u intend to obtain financing, consu,Vt wi h len er or an orney before
comm cin work�pr o .t b your Notice of Commencement. i1
Rev. 8/2/17
Signa Owner/ Lessee/t o ractor as Agent for Owner
Signature r or/tiee older
STATE OF FLORIDA,, i
P�lG�lffiO
STATE OF FLORIDA.
k'ytf- nThe
COUNTY OF
COUNTY OF
folgoing instrument was acknowledged,before me
_
this day of �'.i �Y)i'.t 20 d by
The fpr oing instrument was acknowledged before me
this t_ day of j tI jLf , 20\ ' by
w
.
Name of persorr making statement
7
Name of perso making statement
z
It
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
ca
Produced
Produced
n 0
_
(Signature of Notary Public- tate of Florida)
(Signature of Notary Public- Stat4 of Florida)
Commission No.CfJ _�E— 0-r4 (Seal)
Commission Nok 1:V' (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
GLASS
Inc.
OPOI
(Front Entry)
PGT FD5555
38" X 80"
PGT FD5555 NOA#17-0504.05
St. Lucie County License No.: 19363
Scale: N.T.S.
Project flame:
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13atet ti
Re�enoe
12807 AW Cinnamon Way071wOw
Palm City. it. 34990
3570 S.E. DiKte flwy Stuart. Ft 31997
ph: (772) 214-6970
(772) 286-0459 • glattpro$ettionalt@gmaii.com